Medical emulsion of perfluororganic compounds and method for the production thereof

ABSTRACT

Medicine, in particular medications for treating blood losses, hypoxic and ishemic states, for improving a blood oxygen supply and for preserving isolated perfused organs and tissues. The inventive medical emulsion of perfluororganic compounds includes rapidly excretable perfluororganic compounds such as perfluordecalin, perfluoractilbromide, a perfluoroganic additive embodied in the form of a mixture of perfluorinated tertiary amines and phospholipids in the form of a water-salt dispersion. The perfluordecalin and perfluoractilbromide are contained in the composition of the rapidly excretable perfluororganic compounds at a ratio ranging from 10:1 to 1:10. The mixture of perfluorinated tertiary amines is embodied in the form of the mixture of perfluorotpripropylamine and the co-products thereof: cis- and trans-isomers perfluor-1-propyl 3,4-dimethylpirrolidone and perfluor-1-propyl-4-methhylpiperidine. The inventive method for producing the emulsion includes producing the water-salt dispersion of phospholipids, in homogenizing the perfluororganic compounds therein at a high pressure and in sterilization of the final emulsion. The storage life of the inventive emulsion in the unfrozen state thereof at a temperature of +4° C. is equal to at least 6 months during which the biocompatibility of the emulsion with a biological medium (blood, plasma or serum) is preserved.

BACKGROUND OF THE INVENTION

1. Field of the Invention

This invention relates to the field of biophysics and medicine, inparticular to pharmaceuticals for the treatment of blood losses, hypoxiaand ischaemic conditions and also for improving the blood oxygentransport and the preservation of isolated perfusing organs and tissues.

2. Discussion of Related Art

LIST OF ABBREVIATIONS, REFERENCES, UNITS AND TERMS

-   Surfactants surface-active substances-   P-268, F-268 Proxanol 268, Pluronic 268-   PFD perfluorodecaline-   PFMHP perfluoromethylcyclohexylpiperidine-   PFOB perfluorooctylbromide-   Fl organic fluid which represents a mixture of    perfluorotripropylamine and its coproducts, cis- and trans-isomers:    perfluoro-1-propyl-3,4-dimethylpyrrolidone and perfluoro-1    -propyl-4-methylpiperidine.-   PFCs fluorocarbons, fluorocarbon compounds-   PFTBA perfluorotributylamine-   PFTPA (PAF-3) perfluorotripropylamine-   Soya-P soya phospholipids-   Egg-P egg phospholipids-   n wavelength exponent-   Cv volumetric content of fluorocarbons in emulsion (ml/dl)-   a average particle size-   λ wavelength-   Ip reactogenity index

The success in developing infusion media, which contain emulsions offluorocarbon compounds, depends largely upon the physical-chemicalproperties of selected PFCs and emulsions based on these PFCs and alsoupon the production method.

PFCs for medicinal purposes represent fluorocarbon compounds ofdifferent classes. Externally, these are clear, colorless and odorlessliquids with a very high density, approximately twice as heavy as water.An abnormally strong C—F bond (485.6 KJ/mol) leads to the fact that theintermolecular forces of these compounds are very weak. Weakintermolecular forces are manifested in their abnormally strong abilityto dissolve gases, amongst them also blood gases.

The PFCs are characterized as a result of the strong C—F bond bychemical inactivity. They dissolve in water with difficulty and do notform the metabolic basis in organisms. The chemical inactivity of thePFCs cannot be equated to a biological inactivity. With intravenousinjection of the emulsions on a PFC basis, these emulsions are retainedin organs and tissues, the dwell time being dependent upon the nature ofthe PFC and the dose of the emulsion.

Investigations into the biological properties of perfluorinatedcompounds of different classes show that the elimination rate dependsupon a series of connected physical-chemical parameters, namely upon thestructure and the molecular weight, the boiling temperature, the vaporpressure and the critical dissolving temperature in hexane(T_(critical)) T_(critical) is that temperature at which the samevolumes of the compound which is to be examined and of hexane mix.T_(critical) is considered as a value of the relative PFC solubility inlipids, which value characterizes the rate of passage into membranes.The lower T_(critical) is, the better the compound dissolves in lipidsand the more rapidly it is eliminated from the organism. In Table 1,physical-chemical parameters are indicated which serve as selectioncriteria of PFCs for medicinal application. TABLE 1 Values for thecritical solution temperature in hexane (T_(critical)), the vaporpressure (P) and the half-decomposition time (t_(1/2)) of differentcompounds [1]. P, Half- mm decomposition Molar QS time t_(1/2)Perfluorinated compounds weight T_(critical) (37°) 24 hoursbicyclo[4.3.0]nonane 412 13 33 4 decaline 462 22 12 7decahydroacenaphthene 524 24 2 7 N-(4- 595 38 1 60 (90)methylcyclohexylpiperidine) 1-propyl-2-methylpiperidine 483 35 19 24tripropylamine 521 43 17 65 tributylamine 671 61 1 900 dihexylether 65259 2 500

From the above data a strong correlation between T_(critical) andt_(1/2) can be seen. This correlation is not observed for the vaporpressure. To a great extent T_(critical) and the molecular weight areinterconnected. An optimal molecular weight for PFCs is the rangebetween 460 and 520. Overall, all the offered selection criteria formedicinal PFCs are not mutually contradictory, but have a qualitativecharacter. Nowadays, researchers who are involved in the development andexamination of perfluorocarbon emulsions are directing their attentionto a relatively restricted number of compounds. In Tables 2 and 3, thestructural formulae and the physical-chemical main properties of themost widespread PFCs are indicated. TABLE 2 Structural formulae of themost widespread and promising PFVs perfluorodecaline perfluorotripropyl-perfluorotributylamine (PFD) amine (PFTPA) (PFTBA) mol. wt. 462 mol. wt.521 mol. wt. 671

perfluorotrimethyl- perfluoromethyl- perfluoromethylcyclohexyl-bicyclononane isoquinoline piperidine mol. wt. 562 mol. wt. 495 mol. wt.595

perfluorooctyl- bis- bis-fluorohexylethene bromide (PFOB)perfluorobutylethene (F-66E) CF₃—(CF₂)₆—CF₂Br (F-44E) C₆F₁₃—CH═CH—C₆F₁₃mol. wt. 499 C₄F₉—CH═CH—C₄F₉ mol. wt. 664 mol. wt. 464

When examining primary biological properties of different PFCs, animportant requirement is formulated: the absence of non-identifiableadmixtures. Admixtures with unknown properties can distort the truebehavioral picture (retention in organs, toxicity, influence ondifferent systems of the organism) of the basic substance when injectedintravenously. TABLE 3 Physical-chemical properties of PFCs which formthe basis of medicinal preparations. Perfluorodecylbromide PropertiesPFD PFTPA PFMHP PFOB (PFDB) Stoichiometric C₁₀F₁₈ C₉F₂₁N C₁₂F₂₃N C₈F₁₇BrC₁₀F₂₁Br formula Mol. weight, g/mol 462 521 595 499 599 Boilingtemperature, 142 131 168 143 180 ° C. Vapor pressure, 12.7 18.0 2.0 10.51.5 mm QS (37° C.) Critical solution 22 44 40 −20 7 temperature,(T_(critical)) ° C. Oxygen solubility 40 45 40 53 — ml/100 ml (vol.-%),(37° C.) Half-decomposition 7 65 90(60) 4 40 time t_(1/2)Note:PFD/PFTPA are the basis of the preparation Fluosol-DA;PFD/PFMHP for the preparation Perftoran;PFOB/PFDB for the preparation Oxygent.

Liquid PFCs are poor solvents for various water-soluble, biologicallyactive substances. For this reason, the PFCs for application as oxygentransport media are dispersed in an aqueous emulsifier solution until afinely distributed emulsion is obtained.

The ability of PFCs to exchange gases is determined according to thetotal oxygen content in the emulsion. The oxygen concentration issubject to Henry's Law and is directly proportional to the oxygenpressure. The principle of the physical solubility of the gases in thePFCs extends also to the perfluorocarbon emulsions. The oxygen quantitydissolved in the emulsion depends upon the fluorocarbon phase and notupon the particle size, i.e. the oxygen quantity dissolved in thefluorocarbon emulsion approximates to the values calculated by asummation of the gas quantity values of each phase (oxygen quantity inthe aqueous phase plus oxygen quantity in the PFCs). The content ofinert gases in the mixture of PFC and plasma is also subject to thesummation law of the gas quantity of each phase. Hence, the content ofeach gas in the emulsion can be calculated according to physical laws ofthe solubility thereof due to the partial gas pressure and volume ratioof the fractions PFC/H₂O. This means that the oxygen content inperfluorocarbon emulsions raises as its partial pressure or its tension(pO₂) and the proportion of the fluorocarbon phase raise.

The specific (functional) effect of each preparation when injected intothe body is determined by the compatibility of the preparation, which isdetermined by the LD₅₀ value and also by the lack of side-effects whichappear mainly as the reactogenity. The size of the LD₅₀ value for PFCemulsions depends greatly upon the particle size. The average particlesize must not exceed 0.2 μm. An increase in the proportion of largeparticles (average size over 0.4 μm) of 3% to 10% reduces the LD₅₀ valuefor the mentioned emulsions by a factor of two. Detection of a possiblereactogenity of the perfluorocarbon emulsions is one of the mostdifficult problems which has to be solved when developing apharmaceutical form based on the perfluorocarbon emulsions forintravenous injection. When using a reactogenity preparation, anallergic reaction can develop in humans which manifests itself indifferent ways, from slight reddening of the skin to anaphylacticreaction with cessation of breathing and cardiac arrest.

Most researchers are of the opinion that for the most part reactogenitydepends upon the nature of the emulsifier which is used for thedispersion of the fluorocarbon basis of the emulsion and which forms a(superficial) absorption layer around the particles. It is believed thatthe reactogenity of first generation emulsions was caused by thenon-ionic block polymer of oxyethylene and polyoxypropylene, Pluronic F68 (F-68), and that exchange thereof by natural phospholipids completelysolves the reactogenity problem. This opinion is not completely correct,because fat emulsions, despite stabilisation by natural phospholipids,possess reactogenity. The reactogenity of the perfluorocarbon emulsionscannot simply be eliminated by the use of phospholipids as emulsifierand stabilizer. In actual fact, it emerged that the reactogenity of thePFC emulsions is effected above all by the surface properties of theemulsified particles, i.e. by the state of the emulsifier layer whichstabilizes the particles. In addition to the chemical structure, thenature of the surfactant molecules and the key parameters whichdetermine both the stability of the disperse system and possiblesecondary reactions, the binding strength of the surfactants with theoil nucleus of the emulsion particles, the position of the molecules onthe surface, the density of the packing thereof, the prevalence of theabsorption properties relative to proteins and other biologically activemolecules which are situated in the bloodstream and finally the size ofthe emulsion particles play a part. The last parameter should inparticular be mentioned. A decrease in the average particle size of theemulsion in the preparation Perftoran, which is only stabilized by theblock copolymer polyoxyethylene and polyoxypropylene, Proxanol 268 whichis the nearest prototype to F-68, leads to a rapid reduction in thesecondary reaction. It is clear from this that in the development,formulation and production method of the emulsions, superficialphenomena (interaction of two heterogeneous systems, emulsion and bloodor plasma) play a decisive role in the behavior of the intravenouslyinjected emulsion. The composition of the oil nucleus and also thesurfactant which cooperates with the latter should hereby be selectedexperimentally and also the tenability of the technology used should betested.

When developing the perfluorocarbon emulsion according to this inventionfor medicinal purposes and the production method, each formulation andeach technological element was examined for biological effect by ananimation model. It is known that the reactogenity reaction of rabbits,when injected with perfluorocarbon emulsions, is expressed by a rapiddecrease in neutrophilic leucocytes in the peripheral blood. Whenevaluating possible reactogenity of the perfluorocarbon emulsions, areactogenity index Ip is used in tests, which is calculated according tothe formula Ip=Ck/Cv in which Ck and Cv designate neutrophiles in %relative to the initial level in the control and test group. If after 5and 20 minutes Ip is less than 3, then the reactogenity probability isminimal [3].

Different methods for producing perfluorocarbon emulsions are known. Oilin water emulsions, which include perfluorocarbon emulsions and in whichthe perfluorocarbon basis is an oil phase, are produced at a high costin energy. Comminution of the oil phase is implemented by ultrasound ormechanically.

Under the effects of ultrasound, a dispersion is implemented byfrictional forces with intense local pressure change which has twocauses. First, local compression and expansion alternate in the liquidwith the passage of waves. Second, cavitation occurs, i.e. formation andcollapse of cavities which are filled with the gases dissolved in water.The energy and the force of the ultrasound effect which are necessary inorder to produce a sub-microemulsion are so large that, in addition tothe dispersion, the C—F bond is broken. As a result, highly toxicconcentrations of the F ions, approximately 3-5 mmol, appear in theaqueous phase of the emulsion. An emulsion with such a highconcentration of F⁻ ions cannot be used for blood replacement or forpreserving perfusing organs. It is necessary to free it of the excess ofF⁻ ions by passage through an ion exchange resin. The seconddisadvantage of an emulsion dispersed by ultrasound is in anexceptionally high dispersion range because, with an average particlesize of 0.1 μm, a large particle proportion can be found to be over 0.4μm and under 0.01 μm in size.

A mechanical dispersion by shaking or intense agitation permitsemulsions which are only coarsely dispersed to be obtained, with aparticle size of over one millimetre which is not acceptable forbiomedicinal application. In order to produce finely distributedemulsions forced passage of the substance of the disperse phase throughfine holes into the dispersion medium under high pressure (extrusion) isused, as a result of which the liquid jet is broken up into droplets.The dispersion is effected by the pressure gradient and hydraulicfrictional forces. The emulsions are normally produced in high pressurehomogenisers. Stabilization of the obtained emulsions is achieved withthe help of surface-active substances or emulsifiers. The stabilizingeffect of these substances is explained by two causes: first by thereduction in excess surface energy between the phases or by thereduction of the surface tension and second by the formation of astructural, mechanical barrier (absorption layer) which ensures thestability of the particles and prevents contact or adhesion oragglomeration of the particles.

Amongst many surfactants, only a few fulfil the requirements forapplicability to the production of preparations for intravenousinjection (Table 4). TABLE 4 Common surface-active substances for theproduction of perfluorocarbonemulsions Description Structural formulaBasic parameters Proxanol 268 (Pluronic F-68)

Synthetic blockcopolymer, mol.wt. ˜13000 (P-268) and ˜9000 (F-68), x=number of chain members of the ethylenepolyoxide block, y = number ofchain members of the propylenepolyoxide block. Readily soluble.phospholipids

Natural compound. R₁ and R₂ are different chains of the fatty acids.(Egg yolk) R₃═N(CH₃)₃ Mol. wt. 760-870. lecithin Practically insolublein water

At the moment, mainly two emulsifiers are used to produceperfluorocarbon emulsions, namely Proxanol-268 (Pluronic F-68) andnatural phospholipids (egg and soya phospholipids etc.).

The Proxanol structure does not correspond to the characteristicmolecular properties of water-soluble surfactants which have a polarhead (hydrophilic part) and a non-polar tail (hydrophobic part). In thecase of Proxanol, the hydrophilic molecular character is determined bytwo polyoxideethylene chains, the hydrogen bonds being formed with H₂Omolecules. Methyl groups of polypropylenepolyoxide make lipophilicproperties of its molecule a prerequisite. The ratio of thepolyoxideethylene/polyoxidepolypropylene blocks for F-68 and P-268 isthe same on average and is 80:20. The stabilizing effect of theseemulsifiers is effected mainly by the steric effect of the protectivefilm which is formed by the surface-active molecules around thefluorocarbon particles. The largest part of the surfactant molecules, inaddition to the surfactants bonded in the absorption layer, therebyforms various micellar structures in the aqueous phase, including thosewhich are free of fluorocarbon compounds. Between the surfactantmolecules in the absorption layer and in the micells of the aqueousphase, a dynamic equilibrium is present which, on the one hand, isrequired for stabilisation of the absorption layer and, on the otherhand, disturbs the density of the molecular packing of the surfactantsin the absorption layer during long-term storage.

The phospholipids represent a mixture of compounds of natural origin,the general structure of which is indicated in Table 4. Phospholipidsare water-insoluble and, at the same time, poorly lipophilic activesubstances with respect to different fluorocarbon compounds althoughthey are partially dissolved by PFD and PFTPA in the double layer of thephosphatidyl choline particles. The cooperation of the phospholipids andfluorocarbon compounds in the aqueous phase has a double character. Itis possible to include fluorocarbon compounds in the lamella structureof the phospholipids and/or to form monolayers of the phospholipidswhich are connected irreversibly to the particle surface.Non-homogeneous particles are possible in emulsions comprisingfluorocarbon compounds and phospholipids, i.e. particles which arecovered with a protective layer comprising phospholipids and free ofphospholipids. This non-homogeneity can be attributed to productionparticularities and/or phospholipid excess relative to the fluorocarbonphase.

For finely distributed emulsions, the determining mechanism for reducingfineness (particle coarsening) is isothermic or molecular substancedistillation of the disperse phase from small to larger particles bydiffusion of the molecules of fluorocarbon compounds through adispersion medium. This process is called “Ostwald ripening” of theemulsion or “recondensation”. The driving force of this process is anincreased pressure of saturated vapor over smaller particles incomparison to larger. In this case, an important parameter is also thelevel of solubility of fluorocarbon compounds in the aqueous medium.Prevention of recondensation can be of crucial importance for obtaininga resistant aggregate state of the perfluorocarbon emulsions, i.e.obtaining the fineness and individuality of the particles. The mainroutes to destabilization, namely molecular diffusion and a lesssignificant flocculation and coagulation, are characteristic both ofrelatively dilute emulsions, in which the fluorocarbon phase is below20% by volume, and of more highly concentrated emulsions in which thefluorocarbon phase is 50% by volume.

The stabilization routes of the perfluorocarbon emulsions are known. Thebasic principle of stabilization of colloid systems means prevention oftheir decomposition mechanisms. Addition of sugar and coemulsifiers witha negative charge (minority components of the phospholipids) inemulsions on a PFC/phospholipid basis prevents flocculation of theparticles by changing the spatial interaction of the surfactantmolecules in the absorption layer and also by increasing theelectrostatic repulsion force between the particles.

Reducing the main decomposition process of the perfluorocarbonemulsions, which is caused by molecular diffusion, is achieved byaddition of a second less water-soluble component (additionalfluorocarbon compound) to the fluorocarbon basis which has a higherboiling temperature and slows down this process.

The principle of this stabilization is used in the development of thepreparations Fluosol-DA, Perftoran and Oxygent. The compiled data arerepresented in the following Table 5 according to the composition andthe physical-chemical properties of the mentioned preparations. TABLE 5Compiled data according to the composition of the preparationsFluosol-DA (Japan), Perftoran (Russia) and Oxygent (USA)/2/.Concentration (% by vol./wt.) Oxygent Ingredients Fluosol-DA PerftoranAF0104 AF0143 AF0144 Perfluorodecaline (PFD) 14 13 — — —Perfluorotripropylamine 6 — — — — (PFTPA) Perfluoromethylcyclohexyl- —6.5 — — — piperidine (PFMHP) Perfluorooctylbromide — — 90 87 58 (PFOB)Perfluorodecylbromide — — — 3 2 (PFDB) Pluronic F-68 (Proxanol-268) 2.724 — — — Phospholipids 0.4 —  4 5.4 3.6 Potassium oleate 0.032 — — — —Buffer substance CO₃ ⁻² CO₃ ⁻² PO₄ ⁻³ PO₄ ⁻³ PO₄ ⁻³ Bivalent cations + +— — —

In the first two preparations, the fluorocarbon compoundsperfluorotripropylamine and perfluoromethylcyclohexanepiperidine areadded as supplements with a higher boiling temperature and lesswater-soluble to perfluorodecaline which has the greatest proportion ofthe oil phase. Water-soluble Pluronic F-68 with phospholipid supplement(Fluosol-DA) or its prototype Proxanol-268 (Perftoran) is used asemulsifier. They differ little from each other according to theirphysical-chemical properties. They belong to preparations of the firstgeneration, the general disadvantage of which resides in the fact that,because of inadequate stability, they must be stored frozen.Perfluorodecylbromide, which has a higher boiling temperature and isless water-soluble, is added to the fluorocarbon basis of Oxygent(perfluorooctylbromide). The advantage of Oxygent which belongs to thesecond generation is determined by storage in the non-frozen state.Furthermore, perfluorooctylbromide, which is the fluorocarbon basis ofthe preparation is eliminated rapidly from the organism almost at thesame rate as perfluorodecaline (corresponding to t_(1/2)˜4 and 7 days).

Oxygent is a trade name of infusion media which are somewhat differentwith respect to composition.

The emulsifier not only contributes to lowering the superficialintermediate phase tension in the H₂O/PFC system which is required forfineness. A change in the emulsifier nature can influence the rate ofthe molecular diffusion. Fluorinated surfactants, which contain afluorinated, hydrophobic and a non-fluorinated hydrophilic part in theirmolecule, are considered to be promising for the future. Great successin the synthesis of fluorinated surfactants for fluorocarbon compoundswas achieved recently by French chemists [4]. The general structure ofsynthetic, fluorinated surfactants represents a combination of aperfluorinated chain and a polar head. A hydrocarbon chain is used asbinding link of these elements. The polar head is selected from naturalsubstances or derivatives thereof. Fluorinated surfactants, whichcontain alcohols or sugar derivatives as polar head, have a synergy withPluronic F-68. The use of phospholipids, sugar phosphates orphosphatidyl choline in fluorinated surfactants as polar head increasesthe stability of the fluorocarbon emulsions which contain naturalphospholipids as emulsifiers. A new class of mixed, fluorinatedsurfactants was proposed for stabilization [4]. The molecules of thisclass of fluorinated surfactants represent a block of two linearcomponents, namely a hydrocarbon component and a perfluorinatedcomponent. The general formula of these compounds is as follows:C_(n)F_(2n+1)C_(m)H_(2m+1) or C_(n)F_(2n+1)CH═CHC_(m)H_(2m+1)

The inventors name these molecules “dowel” which means literally“spring” or “connection element”.

The opinion prevails that molecules of fluorinated surfactants with ageneral, linear RH—RF structure play the role of a strengtheningelement, the hydrocarbon end of which enters into the lipid film whichcovers the perfluorocarbon particles and the other fluorinated end ofwhich enters into the oil phase, i.e. that the RH-RF molecules improvethe adhesion properties of the surfactant surface layer.

Now, perfluorodecaline and perfluorooctylbromide are the most acceptedcompounds for producing biomedicinal emulsions for the reason that theyare eliminated rapidly from the organism in comparison to otherfluorocarbon compounds.

Patents [5, 6] are known in which compositions of blood replacementagents are described, the fluorocarbon basis of which represent mixturesof two (perfluorodecaline/perfluoromethylcyclohexylpiperidine orperfluorodecaline/perfluorotributylamine orperfluorooctylbromide/perfluoromethylcyclohexylpiperidine), of three(perfluorooctylbromide/perfluorodecaline/perfluoromethylcyclohexylpiperidineor perfluorooctylbromide/perfluorodecaline/perfluorotributylamine) oreven of four fluorocarbon compounds(perfluorooctylbromide/perfluorodecaline/perfluoromethylcyclohexylpiperidine/perfluorotributylamine)in a different ratio. These mixtures disperse by the water-solubleemulsifier Proxanol P-268. The use of this emulsifier does not make itpossible to store the mentioned mixtures at positive temperatures.Furthermore, these emulsions, after thawing, have a limited storageduration at +4° (at most 1 month). That is their main disadvantage.

Emulsions with fluorinated surfactants are patent-protected. The knownmicro-emulsions containing fluorinated surfactants [7] have no practicalapplication as infusion medium more for the reason that they are notsufficiently stable in vivo. Another composition of perflurocarbonemulsions, which are produced by mixed, fluorinated surfactants, isknown, containing a fluorophilic part and a lipophilic part in themolecule [8]. These emulsions maintain in fact the mean particle averageat positive temperatures but only within 3 months.

A patent [9] is known, in which a 10% fat emulsion of liposyn serves toproduce emulsions as phospholipid source. Three groups of fluorocarboncompounds are patent-protected as fluorocarbon basis. Belonging to thefirst group are perfluorocycloalkanes or perfluoroalkylcycloalkanes(amongst those perfluorodecaline, perfluoromethyldecaline,perfluoroperhydrophenanthrene inter alia). The second group comprisesperfluoroalkyl-saturated, heterocyclic compounds. The third groupcomprises perfluorinated, tertiary amines and perfluorotributylamine,perfluorotripropylamine inter alia. Perfluorooctylbromide also belongsto the applicable fluorocarbon compounds. However, it is still notpossible to produce a stable perfluorodecaline emulsion with the help ofthe 10% liposyn. Its maximum storage duration is 25 days.

In a further patent [10], egg phospholipids are used for emulsionproduction. The proportion of the fluorocarbon phase changes within alarge range of 10 to 50% by volume and that of the phospholipids from0.5 to 7% by weight. As oil phase, only one of the PFCs from the broadclass of compounds is selected and used in the patent, namely theperfluorohydrophenanthrene group with fluorine atoms from 1 to 24,perfluorodecaline, perfluorooctylbromide, perfluoromethyladamantane andperfluoroperhydrophenanthrene.

The main focus in both mentioned patents is on methods for preservingdifferent organs and systems by the use of produced fluorocarbonemulsions. At the beginning of physiological tests, emulsions are mixedwith crystalloid solutions and/or oncotic active substances (albumin,hydroxyethyl starch). The proposed emulsions in fact belong to emulsionsof the second generation but have a substantial disadvantage. In bothpatents, examination results for emulsion stability, i.e. maintainingthe particle size with long-term storage (over a month), is notindicated. The two just mentioned patents [9, 10] are regarded here asprototypes.

The closest prototype to the emulsion according to this invention is theemulsion mentioned under [11]. This emulsion, regarded as prototype,belongs to the second generation and contains a rapidly eliminatedfluorocarbon compound in the quantity of 40 to 50% by volume and aperfluorinated supplement of a higher-boiling compound of 5 to 10% byvolume. As a rapidly eliminated fluorocarbon compound, perfluorodecalineor perfluorooctylbromide (main component) is used and, as supplement,perfluoromethylcyclohexylpiperidine. The emulsifier is egg or soyaphospholipid.

The perfluorocyclohexylpiperidine stabilises the emulsion, reduces therate of molecular diffusion (recondensation) of the main components(perfluorodecaline or perfluorooctylbromide) and is used to produceemulsions of a different composition, namely Perftoran. The maindisadvantage of the emulsion known from patent [11] is a relativelylarge particle average above 0.2 μm.

SUMMARY OF THE INVENTION

One object of this invention resides in increasing the stability of theemulsion and in improving the quality of the emulsion, i.e. in obtainingbiocompatibility with the biological medium (blood, plasma or serum)with a storage of at least 6-12 months in the non-frozen state.

The emulsion according to this invention for medicinal purposes containsrapidly eliminated perfluorodecaline or perfluorooctylbromide and also aperfluorinated supplement and a phospholipid. This emulsion ischaracterized in that a composition of mixed perfluorodecaline andperfluorooctylbromide is used as rapidly eliminated component, and theperfluorinated supplement represents a mixture of perfluorinatedtertiary amines, and the phospholipids are used as a dispersion in thewater-salt medium.

The emulsion is further characterized in that the total concentration offluorocarbon compounds is in the range of 2 to 40% by volume.

The emulsion is further characterized in that the composition containsthe rapidly eliminated perfluorodecaline and perfluorooctylbromide in aratio of 10:1 to 1:10, in that the perfluorinated supplement is 1% to50% of the total content of the fluorocarbon compounds and contains cis-and trans-isomers of perfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl4-methylpiperidine and also additionalperfluoro-N-methylcyclohexylpiperidine and coproducts thereof.

The emulsion is further characterized in that it contains a dispersionof the egg and soya phospholipids or a mixture of these lipids in thewater-salt medium in the concentration of 0.2 to 5% by weight.

The emulsion is further characterized in that the phospholipiddispersion in the water-salt medium contains an adjuvant of 1 to 15% ofthe total content of the phospholipids. Vegetable oil is used asadjuvant and in fact soya, sunflower seed or ricinus oil or a mixture ofthese oils in the effective ratio as a twofold or threefold mixture.

The emulsion is further characterized in that the water-salt mediumcontains sodium salts and potassium salts of chlorides and phosphatesand also the monosaccharide mannitol in the injection water and theconcentration of the components in the water-salt medium has an osmoticpressure in the range of 100 to 350 mosmol/l.

The emulsion is further characterized in that the mean particle sizedoes not exceed 0.2 μm and is in the range of 0.06-0.2 μm.

The production method of the emulsion according to this invention byhomogenization is characterized in that the method contains a pluralityof steps which include a phospholipid dispersion in the water-saltmedium, homogenization in the phospholipid dispersion, heatsterilization of the produced emulsion and subsequent storage of atleast 6 months in the non-frozen state at a temperature of +4° C.

The production method according to the invention is furthercharacterised in that the phospholipid dispersion in the water-saltmedium is produced by homogenisation at a high pressure of at least 100atm and with a subsequent sterilisation.

The production method according to the invention is furthercharacterized in that the fluorocarbon compounds in the phospholipiddispersion are homogenized at a pressure of 300 to 650 atm.

The production method according to this invention is furthercharacterized in that the phospholipid dispersion and emulsion aresterilized at a temperature of 100° C.

DETAILED DESCRIPTION OF THE INVENTION

As is indicated above, the object of the invention resides in increasingthe emulsion stability and improving the emulsion quality, i.e. inobtaining biocompatibility in the biological medium (blood, plasma orserum) with storage of 6-12 months in the non-frozen state. The termbiocompatibility includes different variables and should be made preciserelative to the emulsion. In the above-mentioned patents [8-11], thereis understood by biocompatibility a relatively high elimination rate ofthe chosen PFCs, the ability to preserve the tissues and organs throughwhich the emulsion is perfused and a comparatively low toxicity foranimals (at least 2 volumes of throughflowing blood). These ideas arenot mutually exclusive but do not reflect the first step, namely thecooperation of the particles with plasma and blood in the bloodstream.In this invention, the biocompatibility begins with the level ofsignificance of the cooperation (reaction) of the emulsion with thebiological medium (blood, plasma or serum). The results of thiscooperation can be evaluated not only in vivo but also above all intests in vitro according to the stabilization level of the emulsion withthe influence of a series of factors which simulate damage to theabsorption layer during storage and penetration of the emulsion into thebloodstream.

The quality and stability of the emulsions is normally characterized onthe basis of particle size and in fact the mean particle average shouldnot exceed 0.2-0.3 μm. Such an approach is not adequate forbiomedicinal, dispersed preparations for intravenous injection. This isbased on the fact that the fluorocarbon particles cooperate as foreignmaterial with proteins and molecules of other compounds found in theplasma and also with blood cells during penetration into thebloodstream. The general character of the cooperation depends upon theproperties of the particle surface. The functional activity (gastransport function) of the emulsions depends substantially upon thecompatibility of the surface of the emulsified particles with blood andplasma since a reaction cascade is initiated for example during systemactivation of the complement on the foreign surface, said reactioncascade being caused by vascular spasm and interference in the regionalblood flow. It should also be noticed that the emulsion stability invitro is greatly affected by the properties of the absorption layer ofsurfactants around the particles (strength, topography of the surfaceetc.). In the sense of what has just been mentioned, the problem ofemulsion stability can be resolved only by normal chemical colloidmethods of particle examination without evaluation of the structuralparticularities. Development in this respect of simple methods andapproaches which can provide information about the particle size andtotality of the particle structure is extremely topical. The termstructure itself is thereby intended to be made precise with respect toemulsions.

Progress in the examination of emulsion stability in vitro and in vivois connected to the broadening and extension of the term structure andalso upon the development of examination methods of the structure. Theterm stability of a preparation or of a substance is determined by thestability of the properties of the diverse preparation or of thissubstance. The parameters determining the properties of the emulsion donot adequately characterize the stability of the emulsion. In tests onthis side, ideas about the stability of the emulsions taking intoaccount peculiarities of the structure of the emulsion are broadened.

The stability of the carbon emulsions is normally evaluated afteralteration of the particle size of the emulsion during storage. Thispurely chemical colloid approach is inadequate. For emulsions whichrepresent the basis of preparations and are intended to be used forintravenous injections, information about the emulsion stability is notonly of great significance in in vitro tests but also the possibility ofpredicting the emulsion stability when flowing through the bloodstream.This information can be obtained if ideas about the emulsion structurecan be fixed clearly. The particles of the emulsions have the shape of atwo-layer ball, in the middle of which there is a PFC (particle core)and on the surface of which there is an emulsifier layer (shell) [12].The shell thickness of the emulsifier is low and is 5-10% of theparticle diameter. The behavior of the emulsions in the bloodstream(cooperation with plasma proteins and bloodcells, elimination rate etc.)and the stability during long-term storage depend greatly however uponthe strength and the state of the surface-active substance around theparticles. For this reason, it is necessary to obtain information at thesame time about the particle size and the structural change in the mediato be examined in the case of those or other effects.

For the theoretical description and analysis of structural change inemulsions as the basis of infusion media, the following ideas should beemphasised [13]:

1) The “total structure” of the emulsions and their change ischaracterized by the mean particle average and the distributionaccording to the particle size.

2) The “microstructure” is characterized by the emulsifier state in theshell and the degree of cooperation of the emulsifier with PFCs, themutual position of the surfactant molecules, their arrangement, packingdensity, degree of oxidation and the phase state of the structuredmolecules.

To date, all researchers have restricted themselves to the analysis of a“general structure” which is totally inadequate because the emulsionstability, biocompatibility and in particular the particle surfaceproperties and the absorption capacity of the particles are determinedby the microstructure.

The emulsions according to this invention were compared with theprototype and above all examined for parameters which characterize thechange in the general structure with different storage times of producedemulsions.

Secondly, the effect of destructive factors on the emulsion wassimulated under conditions which allow the microstructure state of theemulsion to be evaluated. Namely a “stress effect” in the form of adilution with water was used and a specific change in the parameters incomparison to the native emulsion was undertaken. The water dilution ofthe emulsions disturbs the set equilibrium between the absorption layerof the surfactants (shell) and the surfactant molecules in thedispersion medium. For this reason, it has a specific prognosticmeaningfulness with respect to maintaining the stability of themetastable system (fluorocarbon emulsion) or the decomposition thereof.

Furthermore, the change in microstructure and the compatibility of theemulsions during contact with blood serum as system model was examined(examination of the biocompatibility of the emulsion in in vitro tests).The cooperation of two heterogeneous disperse systems, blood serum andfluorocarbon emulsion, characterizes the change in surface particleproperties during penetration into the bloodstream and themicrostructure change in the emulsion during storage. The change in thegeneral structure and the microstructure was examined at equal periodsof time in the course of 12 months.

In order to detect the changes in the mentioned state parameters duringstorage, methods and approaches were needed which would not haveintroduced additional disturbances into the system to be examined duringmeasurements. As such, optical testing methods were selected, tested anddeveloped.

In order to evaluate the general structure, a turbidimetric method orturbidity spectrum method [14] was chosen by the inventors. This methodwas used also for evaluating the particle size distribution in theemulsions to be examined after centrifugation and fractionation. Thechange in microstructure of the emulsion or of the particle surfaceproperties which were caused by change in the interrelation of thesurfactant molecules in the absorption layer around the fluorocarboncompounds were evaluated with an indirect method in order to find theinteraction index (K_(τ)) of the emulsion to be examined with bloodserum relative to the physiological common salt solution: the relativeturbidity K_(τ)=τ₁/τ₂, τ₁ and τ₂ meaning the turbidity of the mixturesof serum/emulsion and serum/physiological common salt solution with acorresponding change in the ratio of components of the mixture [15]. Inaddition, calculated and experimental τ-values were compared in order toconfirm the natural constancy of emulsified particles: τ_(calculated)=ΣN_(i) □τ_(i) (Σ N_(i)=1), τ_(i) and N_(i) meaning the turbidity or theproportion of the eliminated fraction and τ_(experiment) the turbidityof the same emulsion sample before fractionation.

I. Concrete Compositions of the Emulsion According to this Invention areIndicated in the Following.

Composition 1

The emulsion contains 40% by volume of a fluorocarbon phase (C_(v))comprising perfluorodecaline and perfluorooctylbromide in the ratio 1:1with a perfluorinated supplement as mixture of perfluorotripropylamineand its coproducts: cis- and trans-isomers ofperfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl-4-methylpiperidine in a quantity of 50% of the totalcontent of fluorocarbon compounds, stabilized in the emulsified statewith 5% phospholipid dispersion, which contains egg phospholipid andricinus oil as adjuvant, the concentration of which is 15% of the totalcontent of the egg phospholipid, in the water-salt medium of thefollowing composition: 2 mmol (115 mg/l) sodium chloride, 2 mmolonce-substituted potassium dihydrogen phosphate (310 mg water-freesalt/l), 7.5 mmol twice-substituted sodium dihydrogen phosphate (460 mgwater-free salt/l), 318 mmol mannite (58 g mannitol/l) in injectionwater. The osmotic pressure was 310 mosmol/l. The mean average diameterof the emulsion particles was 0.195 μm.

Composition 2

The emulsion according to composition 1 was characterized in that itcontained 20% by volume of a fluorocarbon phase (C_(v)) comprisingperfluorodecaline and perfluorooctylbromide in the ratio 10:1 with asupplement as mixture of perfluorotripropylamine and its coproducts:cis- and trans-isomers of perfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl-4-methylpiperidine, with additionalperfluoro-N-methylcyclohexylpiperidine in a quantity of 25% of the totalcontent of the fluorocarbon compounds, stabilized in the emulsifiedstate with 25% phospholipid dispersion, which contains soya phospholipidand soya oil as adjuvant, the concentration of which is 10% of the totalcontent of the egg phospholipid, in the water-salt medium of thefollowing composition: 2 mmol once-substituted, sodium dihydrogenphosphate (276 mg water-free salt/l), 7.5 mmol twice-substituted, sodiumdihydrogen phosphate (460 mg water-free salt/l), 278 mmol mannite (50 gmannitol/l) in injection water. The osmotic pressure was 270 mosmol/l.The mean average diameter of the emulsion particles was 0.1 μm.

Composition 3

The emulsion according to composition 1 was characterized in that itcontained 15% by volume of a fluorocarbon phase (C_(v)) comprisingperfluorodecaline and perfluorooctylbromide in the ratio 1:10 with asupplement as mixture of perfluorotripropylamine and its coproducts:cis- and trans-isomers of perfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl-4-methylpiperidine, with additionalperfluoro-N-methylcyclohexylpiperidine in a quantity of 5% of the totalcontent of the fluorocarbon compounds, stabilized in the emulsifiedstate with 2% phospholipid dispersion, which contains soya and eggphospholipid and sunflower seed oil as adjuvant, the concentration ofwhich is 5% of the total content of phospholipids, in the water-saltmedium of the following composition: 1 mmol once-substituted, sodiumdihydrogen phosphate (138 mg water-free salt/l), 3.7 mmoltwice-substituted, sodium dihydrogen phosphate (230 mg water-freesalt/l), 100 mmol mannite (18 g mannitol/l) in injection water. Theosmotic pressure was 105 mosmol/l. The mean average diameter of theemulsion particles was 0.08 μm.

Composition 4

The emulsion according to composition 1 was characterized in that itcontained 10% by volume of a fluorocarbon phase (C_(v)) comprisingperfluorodecaline and perfluorooctylbromide in the ratio 2:1 with asupplement as mixture of perfluorotripropylamine and its coproducts:cis- and trans-isomers of perfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl-4-methylpiperidine, with additionalperfluoro-N-methylcyclohexylpiperidine in a quantity of 0.2% of thetotal content of the fluorocarbon compounds, stabilized in theemulsified state with 2% phospholipid dispersion, which contains eggphospholipid and sunflower seed and soya oil as adjuvant, theconcentration of which is 2% of the total content of the eggphospholipids, in the water-salt medium of the following composition: 1mmol once-substituted, sodium dihydrogen phosphate (138 mg water-freesalt/l), 3.7 mmol twice-substituted, sodium dihydrogen phosphate (230 mgwater-free salt/l), 90 mmol mannite (13 g mannitol/l) in injectionwater. The osmotic pressure was 100 mosmol/l. The mean average diameterof the emulsion particles was 0.07 μm.

Composition 5

The emulsion according to composition 1 was characterized in that itcontained 2% by volume of a fluorocarbon phase (C_(v)) comprisingperfluorodecaline and perfluorooctylbromide in the ratio 1:2 with asupplement as mixture of perfluorotripropylamine and its coproducts:cis- and trans-isomers of perfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl-4-methylpiperidine, with additionalperfluoro-N-methylcyclohexylpiperidine in a quantity of 10% of the totalcontent of the fluorocarbon compounds, stabilized in the emulsifiedstate with 0.2% phospholipid dispersion, which contains soyaphospholipid and soya and ricinus oil as adjuvant, the concentration ofwhich is 5% of the total content of the soya phospholipids, in thewater-salt medium of the following composition: 2 mmol sodium chloride(115 mg water-free salt/l), 2 mmol once-substituted sodium dihydrogenphosphate (276 mg water-free salti), 7.5 mmol twice-substituted sodiumdihydrogen phosphate (460 mg water-free salt/l), 318 mmol mannite (58 gmannitol/l) in injection water. The osmotic pressure was 350 mosmol/l.The mean average diameter of the emulsion particles was 0.06 μm.

Composition 6

The emulsion according to composition 1 was characterized in that itcontained 10% by volume of a fluorocarbon phase (C_(v)) comprisingperfluorodecaline and perfluorooctylbromide in the ratio 4:1 with asupplement as mixture of perfluorotripropylamine and its coproducts:cis- and trans-isomers of perfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl-4-methylpiperidine, in a quantity of 4% of the totalcontent of the fluorocarbon compounds, stabilized in the emulsifiedstate with 2% phospholipid dispersion, which contains soya phospholipidand sunflower seed, soya and ricinus oil as adjuvant, the concentrationof which is 4% of the total content of phospholipid, in the water-saltmedium of the following composition: 2 mmol once-substituted, sodiumdihydrogen phosphate (276 mg water-free salt/l), 7.5 mmoltwice-substituted sodium dihydrogen phosphate (460 mg water-freesalt/l), 200 mmol mannite (36 g mannitol/l) in injection water. Theosmotic pressure was 225 mosmol/l. The mean average diameter of theemulsion particles was 0.09 μm.

In the following Table 6, compositions of the emulsions according tothis invention are represented according to the compositions 1-6. TABLE6 Compositions 1-6 of the fluorocarbon emulsions Aqueous phase C_(v)Fluorocarbon Dispersion Adjuvant composition % by vol. supplementPhospholipids relative Osmo- Particle in No. PFD/PFOB Relative content %by wt. content molarity size mmol 1 40% by Fl. Egg-P Ricinus 310 0.195μm  2 KCl vol. 50% 5% oil 2 NaH₂P 1:1 15% 7.5 Na₂HP 318 mannite 2 20% byFl. Soya-P Soya oil 270 0.10 μm 2 NaH₂P vol. perfluoromethylcyclo- 2.5%10% 7.5 Na₂HP 10:1 hexylpiperidine 278 25% mannite 3 25% by Fl. Egg andSunflower 110 0.08 μm 1 NaH₂P vol. Perfluoromethylcyclo- soya seed 3.7Na₂HP 1:10 hexylpiperidine phospholipid oil 100 5% 2% 10% mannite 4 10%by Fl. Egg Sunflower 100 0.07 μm 1 NaH₂P vol. perfluoromethylcyclo-phospholipid seed 3.7 Na₂HP 2:1 hexylpiperidine 2% and 95 0.2% ricinusmannite oil 2% 5  2% by vol. Fl. Soya Soya 350 0.06 μm 2 NaCl 1:2perfluoromethylcyclo- phospholipid and 2 NaH₂P hexylpiperidine 0.2%ricinus 7.5 Na₂HP 10% oil 318 5% mannite 6 10% by Fl. Soya Sunflower 2250.09 μm 2 NaH₂P vol. 4% phospholipid seed, 7.5 Na₂HP 4:1 2% soya 200 andmannite ricinus oil 2%II. Concrete Embodiments for the Production Method of the Composition ofthe Emulsions According to this Invention and the Physical-ChemicalParameters of the Emulsions are Indicated in the Examples.

EXAMPLE 1 The Emulsion was Produced Under Aseptic Conditions

-   1.1 For production, 1 l emulsion was prepared with 10% by volume of    PFC to a 1% phospholipid dispersion.-   1.2 First step dispersion preparation: a sterile, round flask was    filled with 100 ml 10% alcohol solution of egg phospholipid. The    alcohol was distilled in a rotary evaporator. 1 g ricinus oil    (adjuvant concentration 10% of egg phospholipid content) and 900 ml    water-salt solution were added.-   1.3 Apyrogenic water was used to prepare the water-salt solution. A    powder comprising once-substituted sodium dihydrogen phosphate,    twice-substituted sodium dihydrogen phosphate and crystalline    mannite were dried for 2 hours in a drying chamber at 110° C.    Thereafter, 0.138 g water-free, once-substituted sodium dihydrogen    phosphate, 0.523 g water-free, twice-substituted sodium dihydrogen    phosphate and 50.0 g mannite were dissolved in 1 l apyrogenic water    in a laminar device under aseptic conditions. The obtained    water-salt solution was conducted through a sterile filter from the    Millipor Company with a pore size.of 0.4 μm.-   1.4 A mixture of vegetable oil and the water-salt solution was    agitated mechanically in the flask until a homogeneous suspension of    a milky-yellow colour was obtained. The obtained phospholipid    suspension was added to a sterile container of a high pressure    homogenizer.-   1.5 The homogenizer was sterilized in advance with super-heated    water vapor and 500 ml alcohol and washed with 500 ml apyrogenic hot    water.-   1.6 The phospholipid suspension was conducted through the    homogenizer four times at a pressure of 100 atm until a    semi-transparent, homogeneous liquid was obtained. The obtained    dispersion was decanted into glass vessels. The glass vessels were    treated for 2-4 minutes with sterile, inert gas (nitrogen, argon or    a mixture of nitrogen and carbon dioxide).-   1.7 The glass vessels were sealed with rubber seals and covered with    aluminium caps. Thereafter, the vessels were heat-sterilized for 1    hour at 100° C. The vessels were stored at room temperature until    the next production step.-   1.8 PFCs were treated in the next step. 72 ml PFD were mixed with 8    ml PFOB. 20 ml perfluorotripropylamine were added to 80 ml of this    composition. The obtained composition comprising PFD and PFOB with a    supplement of fluorocarbon was mixed with the same volume of    medicinal alcohol. The perfluorocarbon phase was separated from the    alcohol which is heavier by means of a separating funnel. The    separated mixture was mixed with a threefold volume of apyrogenic    water, shaken and separated in the separating funnel (specific    fluorocarbon weight exceeds the specific water weight virtually    twofold).-   1.9 Thereafter, the emulsion was produced. 900 ml phospholipid    dispersion and 100 ml treated fluorocarbon mixture (composition    comprising PFD/PFOB=9/1+PFTPA−20%) were added to the homogenizer.    The contents were agitated mechanically and dispersed at a pressure    of 500 atm, the total volume flowing through the chamber eight times    until a semi-transparent, yellowish liquid with an opalescent color,    the submicron emulsion, was obtained. The emulsion was decanted into    glass vessels with respectively 100 ml. The glass vessels were    plugged with rubber seals and covered with aluminum caps.-   1.10 The emulsion in vessels was heat-sterilized for 1 hour at 100°    C., then cooled and stored for one year at 4° C.

The obtained emulsion had the following composition: fluorocarbon phase(C_(v)) 10% by volume, ratio of PFD to PFOB 9/1, relative content ofPFTPA in the fluorocarbon mixture 20%, concentration of egg phospholipid1% by weight, ricinus oil concentration 0.1% (relative ricinus oilcontent in suspension as adjuvant 10% of the total content of the eggphospholipid). Lot No. 1.

The viscosity of the lot was measured by means of a viscosity metermodel BΠ

-2, and was 0.953 cP (centipoise). In comparison to Perftoran with thesame content of fluorocarbon phase, the viscosity was 2.5 cP(centipoises).

Example 2

The emulsion was produced in the same composition and as in example 1. Amixture of soya and ricinus oil in the ratio of 1:1 was selected asadjuvant. The emulsion had the following composition: C_(v) 10% byvolume, PFD/PFOB 9:1, relative content of PFTPA 20%, egg phospholipidconcentration 1% by weight, relative adjuvant content (soya/ricinus oil1:1) 10%. Lot No. 2.

Example 3

The emulsion was produced as in example 1 in the same composition but ina volume of 800 ml with a fluorocarbon content of 20% by volume. 200 ml10% alcohol solution of soya phospholipids were added to round flasks.The alcohol was distilled in the rotary evaporator. 3 g adjuvant (soyaand ricinus oil in the ratio 1:2, adjuvant concentration 15% of the eggphospholipids) were added. The water-salt solution contained 0.276 gwater-free, once-substituted sodium dihydrogen phosphate, 1.046 gwater-free, twice-substituted sodium dihydrogen phosphate and 10.0 gmannite. 1 1 water-salt solution was added to the flask with theadjuvant, shaken and dispersed in the homogenizer, decanted into glassvessels and sterilized as in example 1. The fluorocarbon phase wasprepared. 40 ml PFOB were added to 160 ml PFD. From this quantity, 160ml of the composition were taken and mixed with 40 ml PFTPA. Aftercleaning, 200 ml obtained perfluorocarbon mixture were added in drops tothe homogenizer with 800 ml dispersion of soya phospholipid. Theobtained emulsion was decanted and sterilized.

The emulsion had the following composition: C_(v)=20% by volume, ratioof PFD to PFOB 8:2, relative content of PFTPA 20%, soya phospholipidconcentration 2% by weight, relative adjuvant content (soya/ricinus oil1:2) 15%. Lot No. 3.

Example 4

The emulsion was produced as in example 1 but with a ratio of PFD toPFOB of 8: 2. 30 ml PFMHP were added to 170 ml of the composition, mixedby shaking, cleaned as per normal and added in drops into a homogenizerwith 800 ml dispersion comprising soya phospholipid (obtained as inexample 3) and the same adjuvant: soya and ricinus oil in the ratio 1:2in a quantity of 15% of the soya phospholipid content. The emulsion wasdispersed at a pressure of 400 atm.

The emulsion had the following composition: C_(v)=20% by volume,PFD/PFOB ratio 8:2, relative content of PFMP 15%, soya phospholipidconcentration 2% by weight, relative adjuvant content (soya/ricinus oil1:2) 15%. Lot No. 4.

Example 5

The emulsion was produced as in example 1 only with the addition of adifferent quantity of the egg phospholipid. 50 ml egg phospholipid wereadded to round flasks. The alcohol was distilled in the rotaryevaporator. 0.6 g sunflower seed oil and 0.5 g common salt solution wereadded, mixed by shaking and homogenized at a pressure of 150 atm. Thecomposition of PFD/PFOB in the ratio 5:5 was prepared by mixing with 25ml PFD and 25 ml PFOB. 49.5 ml mixture were mixed with 0.5 ml PFTPA. 50ml of the mixture were added, after cleaning, to a homogenizer with 0.95l suspension of the egg phospholipid. The homogenization of thepresuspension was implemented at a pressure of 350 atm. Decanting andsterilization of the finely distributed emulsion was implementedaccording to the prescribed rules.

The emulsion had the following composition: C_(v)=5% by volume, PFD/PFOBratio 5:5, relative content PFIPA 1%, egg phospholipid concentration0.5% by weight, relative adjuvant content sunflower seed oil, 12%. LotNo. 5.

Example 6

50 ml 10% alcohol solution of soya phospholipid were added to roundflasks. The alcohol was distilled according to the above-describedmethod. 0.6 g soya oil and 950 ml salt solution were added. Aftermixing, the dispersion was produced in a homogenizer at a pressure of180 atm. After the sterilization, the dispersion was used to produce theemulsion. A composition of PFD and PFOB (in the ratio 5:5) was producedby mixing with 25 ml PFD and 25 ml PFOB. 0.5 ml PFMHP was added to 49.5ml of this composition. After cleaning with 50 ml alcohol, the mixturewas processed in the homogenizer with 950 ml soya phospholipiddispersion. The homogenization was implemented in two stages, asmentioned above, in the first stage at a pressure of 200 atm and in thesecond stage at a pressure of 500 atm.

The obtained emulsion had the following composition: C_(v)=5% by volume,PFD/PFOB ratio 5:5, relative content of PFMHP 1%, soya phospholipidconcentration 0.5% by weight, relative adjuvant content (soya oil) 12%.Lot No. 6.

Example 7

A suspension was prepared with a concentration of soya phospholipids of0.2% by weight. In addition, 20 ml alcohol solution of the soyaphospholipid were added to a rotary evaporator. The alcohol wasdistilled. The mixture of soya and sunflower seed oil in the ratio 1:1as adjuvant was added thereto. The dispersing and sterilization with theaddition of 980 ml common salt solution was implemented as in example 6.

The composition of PFD/PFOB was prepared by mixing 4 ml PFD and 16 mlPFOB (in the ratio 2:8). 1 ml PFMHP was added to 19 ml of the mixture.20 ml of the obtained mixture of the three components was homogenizedwith 980 ml suspension. The homogenization was implemented as in theexample above. The sterilization and the decanting were implementedaccording to standard methods.

The obtained emulsion had the following composition: C_(v)=2% by volume,PFD/PFOB ratio 2:8, relative content of PFMHP 5%, soya phospholipidconcentration 0.2% by weight, relative adjuvant content (soya/sunflowerseed oil 1:1) 1%. Lot No. 7.

Example 8

In order to produce the emulsion, 40% by weight suspension of the eggphospholipid were prepared with a concentration of 5% by weight. 500 mlalcohol solution of the egg phospholipid were added in addition to aflask. The alcohol was distilled. 2.5 g ricinus oil as adjuvant and 600ml common salt solution were added thereto. After mixing, the dispersingwas implemented in a homogenizer at a pressure of 200 atm until ahomogeneous medium of a yellowish-white color was obtained. Thesterilization was implemented as indicated above.

The composition was prepared by mixing with 4 ml PFD and 360 ml PFOB (inthe ratio 1:9). 40 ml PFMHP were added to 360 ml of the mixture. 400 mlof the obtained mixture of the three components were homogenized in twostages with 600 ml suspension of the egg phospholipid, in the firststage at a pressure of 250 atm and in the second stage at a pressure of600 atm. The sterilization and decanting were implemented according tostandard methods.

The emulsion had the following composition: C_(v)=40% by volume,PFD/PFOB ratio 1:9, relative content of PFMHP 10%, egg phospholipidconcentration 5% by weight, relative adjuvant content (ricinus oil) 5%.Lot No. 8.

Example 9

A fluorocarbon phase was mixed from 40 ml PFD and 360 PFOB. 80 ml wereadded to 320 ml of the mixture, and in fact 40 ml PFMHP and 40 ml of anorganic liquid. The emulsifier suspension comprised 4.2% by weight eggphospholipid, 4.2% by weight soya phospholipid and 4.2 g adjuvantcomprising ricinus and sunflower seed oil in the ratio 9:1, i.e. 5% ofthe total content of the egg phospholipid.

In order to produce the emulsion, 600 ml suspension with 400 ml of themixture of three components were added to a homogenizer. Thehomogenization, decanting and sterilization were implemented as in theabove example.

The emulsion had the following composition: C_(v)=40% by volume,PFD/PFOB ratio 1:9, relative content PFMHP and organic liquid 20%,phospholipid concentration (egg and soya phospholipid 1:1) 5% by weight,relative adjuvant content (ricinus and sunflower seed oil 9:1) 0.25%.Lot No. 9. TABLE 7 Composition of the obtained emulsions according tolots (examples 1-9) C_(v) Ratio Adjuvant % by PFD/ Supplement relativePhospholipids relative Lot no. vol. PFOB content % by wt. Adjuvantcontent in % 1 10 9:1 Fl. Egg phospholipids Ricinus 10 20% 1% 2 10 9:1Fl. Egg phospholipids Ricinus/soya 10 20% 1% 1:1 3 20 8:2 Fl. Soyaphospholipids Ricinus/soya 15 20% 2% 2:1 4 20 8:2 PFMHP Soyaphospholipids Ricinus/soya 15 15% 2% 2:1 5 5 5:5 Fl. Egg phospholipidsSunflower seed 12 1% 0.5% 6 5 5:5 PFMHP Soya phospholipids Soya oil 121% 0.5% 7 2 2:8 PFMHP Soya phospholipids Soya/ 1 5% 0.2% sunflower seed1:1 8 40 1:9 PFMHP Egg phospholipids Ricinus/ 5 10% 5% sunflower seed9:1 9 40 1:9 Fl. Egg phospholipids Ricinus/ 5 10% 2.5% sunflower seedPFMHP soya phospholipids 9:1 10% 2.5%Compositions of all the lots are indicated in Table 7.

In Table 8, examination results of the mean particle size are indicatedfor native (not diluted) and water-diluted emulsions for differentstorage times. TABLE 8 Wavelength exponent and mean particle size fornative and water-diluted fluorocarbon emulsions from examples 1, 3, 4,5, 8 and 9 n a, μm Lot no. Storage months native diluted 1:2 nativediluted 1:2 1-01 0 3.40 3.20 0.114 0.13 1 3.33 3.33 0.119 0.119 3 3.233.20 0.128 0.13 6 3.27 3.23 0.124 0.128 9 3.13 3.30 0.136 0.121 12 3.053.14 0.143 0.135 1-03 0 3.27 3.33 0.125 0.119 1 3.33 3.33 0.119 0.119 33.13 3.20 0.136 0.13 6 3.20 3.27 0.130 0.124 12 3.20 3.13 0.130 0.1361-04 0 3.20 3.13 0.13 0.136 1 3.17 3.0 0.132 0.148 3 2.87 3.10 0.1650.14 6 3.07 3.10 0.141 0.138 9 3.10 3.07 0.138 0.141 12 2.94 2.85 0.1550.17 1-05 0 3.20 3.27 0.13 0.124 1 3.13 3.07 0.136 0.14 3 3.03 3.070.146 0.14 6 3.07 3.03 0.141 0.145 12 2.97 3.10 0.148 0.138 1-08 0 3.333.27 0.113 0.124 1 3.23 3.26 0.128 0.126 3 3.10 3.20 0.139 0.13 6 3.033.11 0.14 0.14 9 2.88 3.10 0.164 0.138 12 2.87 2.9 0.165 0.160 1-09 03.16 3.20 0.134 0.13 1 3.0 3.13 0.148 0.137 3 3.0 3.07 0.148 0.141 62.86 3.02 0.182 0.157 12 2.7 3.07 0.195 0.14

The value n was calculated according to the method of least squares. Themean error square in the determination of n is 0.01-0.03. Hence theerror in the determination of n=0.3-1%. The parameter n is acharacteristic function of the turbidity spectrum method and iscalculated according to at least 3-5 points. For finely distributedemulsions, n is connected unequivocally with the mean particle size a[14].

According to the obtained results, the average parameters n and apractically do not change in the case of 12 months storage. The waterdilution as stress effect affected the particle size little. A slightincrease in the values a was observed for emulsions with soyaphospholipids at later times of 9-12 months. The range of change for thewavelength exponent for all lots of the fluorocarbon emulsions withphospholipid dispersion with storage up to one year was between 3.4 and2.7. This corresponded to the increase in mean particle size from 0.11to 0.15-0.195 μm.

In order to examine the particle distribution according to size,fractionation of the medium to be examined was used. The emulsions werecentrifuged under mild conditions (1500 rpm) and separated (precisely)into 3 fractions: an upper fraction of 20%, a middle fraction of 60% anda lower fraction of 20% of the sample volume (FIG. 1). As can bedetected from FIG. 1, the carbon emulsion serving as prototype has,apart from the three fractions which differ according to particle size,a light fraction, which contains the free phospholipids, as result ofwhich weak bonds of the absorption layer to oil phase and thesurfactants which are not bonded in the absorption layer areestablished. For each fraction, values for a and n were measured. Thementioned parameters for fractionated emulsions of the compositionaccording to the invention are indicated in Table 9 with storage of 1-12months. It emerged that n and a display no change during storage forupper and middle fractions. In the case of the lower fraction, a slightincrease in particle size with an increase in storage time was observed.This led to an extension in the distribution width of the particle size.The maximum distribution width was thereby in a range of 0.06-0.19 μm.

The obtained results established that the mean particle size of nativeand water-diluted emulsions (stress effect) increased slightly within 12months and remained within the permissible limits below 0.20 μm. TABLE 9Parameters n and a which characterize the distribution width of theparticle size for emulsions from examples 1, 3, 4, 5, 8 and 9 withstorage of 12 months (upper, middle, lower = fractions aftercentrifugation) a N μm Lot mid- mid- no. t month Dilution upper dlelower upper dle lower 1-01 0 undiluted 3.50 3.27 3.27 0.105 0.119 0.1241:2 3.87 3.39 2.93 0.05 0.114 0.157 1 undiluted 3.47 3.27 3.0 0.1070.124 0.148 1:2 3.57 3.43 3.13 0.095 0.111 0.136 3 undiluted 3.43 3.332.93 0.11 0.119 0.157 1:2 3.83 3.30 3.23 0.062 0.121 0.128 6 undiluted3.47 3.27 3.0 0.106 0.124 0.148 1:2 3.9 3.4 3.13 0.044 0.114 0.136 12undiluted 3.47 3.27 2.78 0.107 0.124 0.185 1:2 3.6 3.33 2.93 0.09 0.1190.156 1-03 0 undiluted 3.37 2.87 2.83 0.118 0.165 0.175 1:2 3.47 3.473.17 0.108 0.108 0.133 1 undiluted 3.4 3.08 2.8 0.114 0.141 0.183 1:23.6 3.26 3.20 0.09 0.125 0.13 3 undiluted 3.33 3.23 2.87 0.119 0.1280.165 1:2 3.50 3.33 3.03 0.104 0.119 0.146 6 undiluted 3.53 3.33 3.100.101 0.119 0.139 1:2 3.5 3.33 3.13 0.104 0.119 0.136 12 undiluted 3.533.27 2.93 0.10 0.124 0.157 1:2 3.6 3.4 3.0 0.09 0.114 0.148 1-04 0undiluted 3.33 3.07 3.07 0.119 0.141 0.141 1:2 3.3 3.17 3.13 0.121 0.1310.136 1 undiluted 3.2 3.13 2.93 0.13 0.136 0.157 1:2 3.33 3.23 3.030.119 0.128 0.145 3 undiluted 3.27 3.03 2.74 0.124 0.146 0.195 1:2 3.33.2 2.8 0.121 0.13 0.182 6 undiluted 3.33 3.17 2.76 0.119 0.132 0.1951:2 3.50 3.20 2.93 0.104 0.13 0.157 12 undiluted 3.17 3.07 2.8 0.1320.141 0.182 1:2 3.33 3.20 2.93 0.119 0.13 0.157 1-05 0 undiluted 3.03.23 2.93 0.148 0.128 0.157 1:2 3.60 3.33 3.06 0.09 0.119 0.141 1undiluted 3.33 3.17 2.9 0.119 0.132 0.162 1:2 3.47 3.27 3.07 0.106 0.1240.141 3 undiluted 3.23 3.13 2.87 0.127 0.136 0.166 1:2 3.23 3.29 3.030.127 0.122 0.146 6 undiluted 3.37 3.17 2.73 0.116 0.132 0.195 1:2 3.533.23 2.97 0.101 0.128 0.151 12 undiluted 3.23 3.07 2.72 0.128 0.1410.198 1:2 3.57 3.2 2.93 0.095 0.13 0.157 1-08 0 undiluted 3.40 3.37 3.270.114 0.116 0.124 1:2 3.40 3.40 3.20 0114 0.114 0.13 1 undiluted 3.373.30 3.17 0.116 0.122 0.132 1:2 3.30 3.20 2.90 0.122 0.130 0.161 3undiluted 3.33 3.17 2.93 0.119 0.132 0.158 1:2 3.47 3.40 2.83 0.1060.114 0.175 6 undiluted 3.20 3.06 2.81 0.13 0.151 0.181 1:2 3.37 3.142.73 0.124 0.165 0.196 12 undiluted 3.08 2.97 2.72 0.14 0.15 0.198 1:23.52 3.16 2.99 0.10 0.13 0.15 1-09 0 undiluted 3.27 3.13 2.87 0.1240.136 0.167 1:2 3.27 3.30 2.83 0.125 0.122 0.175 1 undiluted 3.03 3.02.77 0.146 0.149 0.188 1:2 3.30 3.03 2.93 0.122 0.139 0.157 3 undiluted3.13 3.07 2.73 0.136 0.141 0.196 1:2 3.17 3.10 3.0 0.132 0.138 0.148 6undiluted 3.11 3.01 2.78 0.147 0.156 0.185 1:2 3.40 3.17 2.34 0.1240.136 0.162 12 undiluted 3.08 2.91 2.78 0.14 0.16 0.185 1:2 3.33 3.152.81 0.12 0.135 0.18

The observed enlargement with an increase in distribution width ofparticle sizes was caused by being found in emulsions with relativelylarge particles. During fractionation of the emulsions after 12 monthsstorage, the particle size in the lower fraction increased from 0.12 to0.198 μm. In total, the results are in agreement with the Ostwalddecomposition mechanism (or molecular distillation). The proportion ofsuch relatively large particles was so low (˜10%) that this did notimpair the increase in average particle size. It should be emphasizedthat only a uniform particle sedimentation was observed duringfractionation of the emulsions, as a result of which the lack of freephospholipids is confirmed even after one year of storage. Hence, theparticle distribution in emulsion remained monomodal. The obtainedresults indicate maintenance of a general structure of the obtainedemulsions within 1-12 months of storage.

Interaction indices K_(τ) of the particles with blood serum areindicated in the following Table 10, the blood serum having beenmodified by addition of a 5% albumin solution in the ratio 1:1.

The interaction indices of the fluorocarbon emulsions with blood serumwhich characterize the emulsion microstructure showed a slight variationrange with fluorocarbon emulsions with egg phospholipids for 12 monthsstorage (serum-emulsion ratio 1:0.05 and 1:0.1). When increasing theratio to 1:0.10, the variation range of K_(τ) and K_(1/2) also widened.For fluorocarbon emulsions with soya phospholipids, a small variationrange for K_(τ) remained only up to a 6 month storage. As was mentioned,the observed variations are more probably based on the fact that it isvery complicated to standardize the serum mixture within test serieswith different storage times of the emulsions. At the same time,maintenance of the variation range for an interaction of the emulsionwith the blood serum for each lot within specific and narrower limitsindicates that the particle surface properties change little duringlong-term storage (6-9 months). The abrupt change of K_(τ) at the end ofstorage in the absence of free phospholipids in the emulsions can becaused by the occurrence of an additional interaction between theparticles and the macromolecules of the serum. In order to check thisassumption, experimental values and calculation values of the turbidityτ were calculated, which is an additional, independent parameter forevaluation of the structural totality of the fluorcarbon emulsions(Table 11) [13]. TABLE 10 Interaction indices of the emulsions with theblood serum for different storage times at a temperature of +4° C. τ KτEmulsion-serum ratio Lot no. Storage 1:0.05 1:0.1 1:0.05 1:0.1 1-02 00.8 ± 0.1 1.33 ± 0.03 3.8 ± 0.5 6.2 ± 0.2 1 0.93 ± 0.06 1.4 ± 0.1 4.9 ±0.3 7.2 ± 0.5 3 0.97 ± 0.02  1.99 ± 0.003 3.50 ± 0.07 5.01 ± 0.02 6 0.97± 0.01 1.63 ± 0.03 3.5 ± 0.4 3.4 ± 0.1 9 1.23 ± 0.02 2.09 ± 0.03 3.7 ±0.2 7.0 ± 0.1 12 1.7 2.32 ± 0.01 7.2 ± 0.3 10.09 ± 0.1  1-03 0 0.77 ±0.07 1.1 ± 0.1 3.3 ± 0.3 4.8 ± 0.4 1 0.84 ± 0.05 1.29 ± 0.06 4.0 ± 0.36.6 ± 0.3 3 1.0 ± 0.1 1.46 ± 0.05 3.6 ± 0.6 5.28 ± 0   6 0.92 ± 0   1.53± 0   3.3 ± 0.4 3.19 ± 0.03 12 1.33 ± 0   1.92 ± 0   4.0 ± 0.2 6.4 ± 0  1-04 0 1.00 ± 0.06 1.25 ± 0.08 5.4 ± 0.3 5.4 ± 0.4 1 1.1 ± 0.2 1.67 ±0.03 5.3 ± 0.9 8.9 ± 0.2 3 1.15 ± 0   1.84 ± 0.06 4.4 ± 0.3 3.83 ± 0.066 1.18 ± 0.02 1.97 ± 0.03 5.7 ± 0.8 10.7 ± 0.2  9 1.83 ± 0.04 1.76 ±0.02 4.2 ± 0.4 4.40. ± 0.04 12 1.30 ± 0.04 2.22 ± 0.07 7.7 ± 0.5 13.9 ±0.8  1-05 0 0.98 ± 0.05 1.56 ± 0.08 5.1 ± 0.2 8.0 ± 0.4 1 1.1 ± 0.1 1.76± 0.02 4.3 ± 0.6 7.0 ± 0.1 3 1.1 ± 0.3 1.90 ± 0.06 4.5 ± 0.8 8.3 ± 0.2 61.18 ± 0.02 2.05 ± 0.07 5.7 ± 0.8 11.1 ± 0.4  12 1.60 ± 0.01 2.91 ± 0.053.6 ± 0.3 7.2 ± 0.1 1-08 0 0.77 ± 0.05 1.15 ± 0   3.4 ± 0.4 5.4 ± 0.7 10.95 ± 0.02 1.43 ± 0.03 4.0 ± 1.0 6.4 ± 0.3 3 1.10 ± 0.1  1.57 ± 0.02 5± 1 8.7 ± 0.5 6 1.4 ± 0.1 1.94 ± 0.03 3.3 ± 0.6 5.4 ± 0.5 9 1.52 ± 0.032.68 ± 0.05 10 ± 2  19 ± 1  12 1.38 ± 0.08 2.30 ± 0.03 11 ± 2  21.3 ±0.9  1-09 0 0.81 ± 0.02 1.48 ± 0.03 5.6 ± 0.6 14.5 ± 0.3  1 1.2 ± 0.11.8 ± 0   6 ± 1 4.79 ± 0.07 3 1.2 ± 0   1.4 ± 0.4 6.0 ± 0.5 7 ± 3 6 1.2± 0.2 2.25 ± 0.03 2.8 ± 0.5 6.4 ± 0.5 9 1.9 ± 0.1 3.24 ± 0.03 14 ± 2  24± 2  12 1.52 ± 0.03 2.68 ± 0   12 ± 1  25.3 ± 0.7 

From a hysical point of view τ means the sum of output losses of a lightbeam for disperse systems in the case of a few particles if cooperativeeffects and multiple dispersions are absent. The agreement ofexperimental and calculated values of τ for undiluted and water-dilutedemulsions proves that the interaction between particles andmacromolecules of the serum remains almost unchanged even after 9-12months storage at a temperature of +4° C. The abrupt change of K_(τ) istherefore more likely to be connected with the fact that additionalsupramolecular structures of perfluorocarbons/phospholipids appear inthe aqueous dispersant, the same ratio of fluorocarbons to phospholipidsoccurring as in the emulsions. TABLE 11 Experimental values andcalculated values of the turbidity for emulsions with different storagetimes Lot no. τ₅₀₀ PFC Storage undiluted diluted 1:2 % by vol. monthExperiment Calculated Experiment Calculated 1-02 0 9.9 10.0 4.6 4.7 (10%by 1 11.7 11.6 3.60 3.75 vol.) 3 12.2 12.0 3.91 4.02 6 13.8 13.1 4.13.86 9 13.8 14.0 4.29 4.37 12 16.1 14.1 4.98 4.94 1-03 0 8.23 9.06 3.603.65 (20% by 1 9.66 10.2 3.07 3.11 vol.) 3 12.4 11.3 3.3 3.39 6 13.311.55 3.57 3.57 12 13.1 12.4 4.02 4.02 1-04 0 12.3 11.4 4.05 4.0 (20% by1 13.8 13.2 4.6 4.5 vol.) 3 21.0 15.4 4.98 5.0 6 16.1 15.5 5.5 5.5 917.2 17.2 5.6 6.2 12 20.9 19.9 6.8 6.5 1-05 0 12.88 13.11 4.22 4.38 (5%by 1 14.03 13.25 4.68 4.71 vol.) 3 19.1 16.9 5.6 5.56 6 16.8 16.15 5.35.3 12 18.9 18.5 5.4 4.5 1-08 0 8.97 8.74 2.91 2.81 (40% by 1 11.7 11.63.53 3.47 vol.) 3 13.8 13.6 4.14 4.0 6 16.6 15.4 4.68 4.59 9 21.8 18.95.6 5.6 12 21.2 19.7 6.2 6.2 1-09 0 14.03 14.44 4.29 4.15 (40% by 1 19.317.5 5.75 5.61 vol.) 3 19.09 18.72 5.52 5.34 6 21.8 18.2 6.13 8.71 926.2 23.9 7.7 7.8 12 26.9 25.5 4.91 4.3

Before something is mentioned about the advantages of the compositionand production method according to this invention of the fluorocarbonemulsions, it should be emphasized that the main conditions forfulfilling the gas transport function of the emulsions when flowing inthe blood flow are the maintenance of the corpuscular nature of theparticles and no reactogenity. From the point of view of colloidalchemistry and biophysics, the passage of the emulsion into thebloodstream can be regarded as a stress effect which should lead to achange in the dispersant properties. This effect can lead to thefollowing observations, namely to dilution of the emulsion and to areduction in concentration of the free emulsifier in the dispersant(rapid phase). As a result of this process, weakening of the molecularbonds of the surfactants to the particle surface is effected (slowphase). This weakening of the bond of the surfactants to fluorocarbonsis impaired yet more by the contact and interaction of the particleswith plasma macromolecules, as a result of which the composition of theabsorption layer or the particle destruction can be changed. Thedescribed sequence of the processes is a simplified representation.

In tests on this side, the dilution of the emulsions with watersimulates the first phase, namely dilution of the emulsion and reductionin concentration of the free emulsifier around the particles.Examination of the interaction of the obtained emulsions with bloodplasma simulates the second phase, namely an effect of contact of serummacromolecules on the properties of the particle surface. It emergedthat even after storage within one year the emulsion particles maintaintheir microstructure, the dilution with water not affecting the particlesize, as a result of which the strong bond of the absorption layer ofthe surfactants to the particle core, the perfluorocarbons, wasconfirmed. The interaction index of the emulsion particles with bloodserum (within limits of measuring errors) also remained unchanged, as aresult of which the maintenance of the particle surface properties wasestablished. The calculation values τ (after fractionation) was inagreement with the experimental values (before fractionation), as aresult of which maintenance of the particle nature (particle structure)and the absence of free phospholipids in the emulsions was confirmedafter one year of storage.

The methodical approaches used significantly increase the accuracy ofthe prediction with respect to the stability of the emulsions whenpassing into the bloodstream. Results of parallel examinations of thestability and the determination of the reactogenity index (Ip) fromseveral lots of identical composition serve as confirmation of what wassaid. The index Ip was determined according to method [3].

Example 10

Four lots of the same emulsions with a composition according to example2 were produced: fluorocarbon basis 9±1% by volume, ratio PFD to PFOB9:1, supplement of an organic liquid 20%, egg phospholipids 1% byweight, adjuvant (ricinus and soya oil 1:1) 8% of the egg phospholipidconcentration.

In the following Table 12, values for n and a of these lots arerepresented with different storage times. TABLE 12 Wavelength exponent nand average particle size a for emulsions of the same compositionPFD/PFOB/Fl/egg-p with different storage times a a n μm n μm Lot no.Storage (months) undiluted diluted 5-03 0 3.70 ± 0.03 0.08 3.81 ± 0.070.06(5) 1 3.62 ± 0.03 0.09 3.83 ± 0.05 0.06(5) 6 3.80 ± 0.04 0.07 3.76 ±0.06 0.07(5) 5-04 0 3.36 ± 0.02 0.117 3.58 ± 0.01 0.09 1 3.30 ± 0.040.122 3.53 ± 0.05 0.10(1) 6 3.37 ± 0.05 0.117 3.08 ± 0.08 0.14 5-05 03.35 ± 0.05 0.116 3.47 ± 0.04 0.11 1 3.07 ± 0.07 0.141 3.24 ± 0.090.12(7) 6 3.37 ± 0.03 0.117 3.13 ± 0.02 0.13(6) 5-06 0 3.32 ± 0.02 0.123.35 ± 0.05 0.11(6) 1 3.07 ± 0.07 0.141 3.09 ± 0.08 0.139 6 3.45 ± 0.040.108 3.26 ± 0.09 0.12(5)

TABLE 13 Wavelength exponent n and mean particle size a whichcharacterize the distribution width of the particles according to size,during fractionation by means of centrifugation of the emulsions withthe same composition PFD/PFOB/Fl/egg phospholipid a n μm Lot no. Storage(months) Water dilution upper middle lower upper middle lower 5-04 0native 3.53 3.47 3.21 0.10 0.11 0.13 1:2 3.77 3.63 3.27 0.07 0.09 0.1241 native 3.53 3.51 3.19 0.101 0.104 0.132 1:2 3.85 3.66 3.26 0.06 0.0850.125 6 native 3.61 3.46 3.15 0.089 0.109 0.135 1:2 3.61 3.12 2.9 0.0890.136 0.160 5-05 0 native 3.71 3.43 3.17 0.079 0.110 0.132 1:2 3.88 3.673.31 0.055 0.084 0.120 1 native 3.60 3.30 3.05 0.094 0.122 0.145 1:23.72 3.35 2.78 0.078 0.122 0.184 6 native 3.56 3.34 2.90 0.098 0.1180.162 1:2 3.53 3.15 2.71 0.101 0.135 0.20

According to the obtained data, the mean particle average in all casesfor native and water-diluted emulsions remained unchanged in the 6months storage time, being in the range of 0.06-0.17 μm. Thedistribution width of the particle size for native and water-dilutedemulsions of the indicated composition changed pratically not at all theindicated examination time (Table 13). The interaction index K_(τ) theobtained emulsions with modified blood serum with respect to therelative measurement error (±10%) varied within narrow limits (seefollowing Table 14). TABLE 14 Interaction index K_(τ) of the emulsionsof the same composition PFD/PFOB/FI/egg phospholipid with the bloodserum modified with albumin (80%) Ratio of serum to emulsion Lot no.Storage (months) 1:0.05 1:0.1 5-03 0 2.28 3.37 1 2.34 3.70 6 2.60 4.005-04 0 3.76 6.00 1 3.63 5.62 6 4.05 6.03 5-05 0 4.0 5.56 1 4.33 6.06 64.53 6.1

TABLE 15 Reactogenity index of the emulsions of the same compositionPFD/PFOB/FI/egg phospholipid (for the test, a dispersion of the eggphospholipid was used) Storage time (months) Lot no. 0 1 6 Eggphospholipid 1.4 — — dispersion 5-03 2.83 1.68 1.92 5-04 1.14 2.14 2.245-05 1.83 1.83 1.70 5-06 2.42 1.35 2.63

The introduced results confirm that the emulsions and the productionmethod according to this invention allow high quality of the emulsionmicrostructure without this being impaired during storage in thenon-frozen state and during a subsequent stress effect in vitro (waterdilution, interaction with the blood serum enriched with albumin). Theresults of the reactogenity test of the same emulsion patterns totallyconfirm the results of the simulation tests. At no point in theexamination, did the reactogenity index exceed the critical value 3 (seeTable 15).

Example 11

The inactness of the structure and the examination of the reactogenityof emulsions with a low flurocarbon content of 5% by volume.

The emulsion had the following composition: PFD/PFOB 1:1, PFMHP 1% soyaphospholipid 0.5%, soya oil as adjuvant 12%, distribution width of theparticle size in the range of 0.03 to 0.12 μm, initial reactogenity1.61. The changes in mean particle size of native and water-diluted,identical emulsions of four lots were examined (see Table 16) and thereactogenity after 6 months storage (see Table 17). As is detectablefrom the indicated data, the increase in particle size in theformulation which was used and the production method according to thisinvention ensure that a low reactogenity is obtained. TABLE 16Wavelength exponent n and mean particle size a of native andwater-diluted emulsions of the same composition PFD/PFOB/FI/soyaphospholipid Storage n a μm n a μm Lot no. (months) undilutedwater-diluted 1:2 6-02 1 3.27 ± 0.04 0.122 3.29 ± 0.03 0.123 6 3.08 ±0.09 0.138 3.18 ± 0.02 0.132 6-03 1 3.19 ± 0.01 0.13 3.28 ± 0.02 0.124 63.06 ± 0.01 0.145 3.11 ± 0.03 0.138 6-05 1 3.31 ± 0.01 0.12 3.48 ± 0.010.105 6 3.24 ± 0.01 0.126 3.39 ± 0.01 0.114 6-06 1 3.11 ± 0.03 0.1373.23 ± 0.03 0.128

TABLE 17 Reactogenity Ip for emulsions with a low fluorocarbon contentafter 6 months storage in the non-frozen state Lot no. 6-02 6-03 6-056-06 Reactogenity 1.87 2.00 1.36 1.8

Example 12

The long-term storage of the emulsion within 18 months, which contains10% by volume of fluorocarbons, has a ratio PFD/PFOB 8:2, an organicliquid of 20%, an egg phospholipid of 2% and ricinus oil as adjuvant of10%. The examination results of the mean particle size with differentstorage times and water dilutions are indicated in Table 18. Thedevelopment of the interaction of the emulsion with the blood serumenriched up to 50% with albumin are indicated in Table 19. TABLE 18Wavelength exponent n and average particle size a for native andwater-diluted emulsions PFD/PFOB/FI/egg-p with different storage time inthe non-frozen state Storage N a μm n a μm Lot no. (months) undilutedwater-diluted 1:2 7-03 0 3.70 ± 0.03 0.08 3.81 ± 0.07 0.065 1 3.62 ±0.03 0.09 3.83 ± 0.05 0.065 6 3.80 ± 0.04 0.07 3.76 ± 0.06 0.07 18 3.81± 0.04 0.065 3.77 ± 0.06 0.07

TABLE 19 Interaction Kτ of the emulsion PFD/PFOB/FI/egg-p with the bloodserum modified with albumin (50%) with different storage times Kτ Ratioof serum to emulsion Lot no. Storage (months) 1:0.05 1:0.1 7-03 0 1.742.37 1 1.68 2.25 6 1.48 2.74 18 1.22 1.78

As emerges from the above data, the obtained emulsion maintainsmeasurable, physical-chemical properties. As a result of this fact, thereactogenity of the emulsion after 18 months storage is 1.5.

Example 13

Prototypes, Oxygent AF 0104 (producer Alliance Therapeutic, USA) and theemulsion produced according to the method according to this inventionwere compared with respect to their quality. The comparison wasimplemented as a function of the change in wavelength exponent and meanparticle size with water dilution.

In the emulsions to be compared with a different absolute fluorocarboncontent, the same ratio of fluorocarbons to phospholipids wasmaintained. The indicated emulsions differ according to the productionmethod. As a result, the emulsion PFOB-2 (produced according to themethod according to this invention) contains no free phospholipid phase(see FIG. 16) after centrifugation, the Oxygent and the prototype PFO-1in the absorption layer comprising non-bonded and free phospholipidswhich float easily during centrifugation (see FIG. 1A). For this reason,the mean particle size for Oxygent is reduced to 0.35 to 0.15 duringdilution of the emulsion with water, the phospholipid aggregates and theemulsion particles decomposing.

In the prototype emulsion (PFOB-1), such coarse aggregates obviouslywere missing. However their presence, apart from the centrifugationresults, shows great differences between calculated and experimentalturbidity parameters which are determined according to the additive rulefor native and diluted emulsions. For the emulsions according to theproduction method according to this invention, practically completeagreement of the experimental and calculated turbidity values wasobserved (see Table 21). It should be noted that, from a physical pointof view, the parameter to be determined represents the sum of the powerlosses of a light beam in individual particles if cooperative effectsand multiple scattering are absent. No agreement of the experimental andcalculated turbidity values for the Oxygent and the prototype confirmsthe non-fulfillment of the additive rule, i.e. that an additionalinteraction between the particles and the light flux in the mentioneddisperse systems occurs. This interaction can be detected clearly in thewater dilution of the Oxygent and prototype, as a result of which nohomogeneity of the particle types is achieved but different micellarstructures of phospholipids in addition to the particles of thefluorocarbon emulsions are achieved. For the emulsions PFOB-2 andPFD/PFOB (Lot no. 5-03), the interaction of the particles with the lightflux fulfilled the additive rule even after one month of storage in thenon-frozen state.

FIG. 1: separation of the fluorocarbon emulsions in fractions as afunction of the production method: A according to the prototype (theemulsion contains free phospholipids), B according to the methodaccording to this invention (the emulsion contains only particles of adifferent size). 1, 2, 3 mean the upper, middle and lower fraction. lameans the free phospholipids in the upper fraction. TABLE 20 Compositionof different fluorocarbon emulsions, wavelength exponent n and meanparticle size a for undiluted and water-diluted (1:1) emulsionsComposition n a, μm Phospholipid Water Water Preparation PFC % dilutionH₂O dilution PFC wt./vol. by wt. undiluted 1:1 undiluted H₂O 1:1 OxygentAF 0104 90% by 4 2.34 ± 0.04 2.93 ± 0.1  0.35 0.15 (PFOB) wt. 45% byvol. Emulsion PFOB-1 45% by 2 2.91 ± 0.09 2.82 ± 0.10 0.16 0.18(prototype) wt. 22% by vol. Emulsion 20% 1 3.38 ± 0.02 3.33 ± 0.05 0.1140.115 according to the 10% by method according vol. to this invention(composition according to prototype PFOB-2)

TABLE 21 Agreement of experimental and calculated turbidity valuesaccording to the additive rule undiluted water-diluted 1:1 PreparationTest Calculation Test Calculation Oxygent 133.9 ± 1.0 33.2 59.3 ± 0.5 23PFOB-1  26.6 ± 0.3 18.6 16.4 ± 0.2 5.21 (prototype) PFOB-2 (method  9.310.0 2.35 2.31 according to this invention) PFD/PFOB 9:1 12.9 11.2 3.243.17 (composition and method according to this invention, example 10)

Hence the indicated examples show an entire series of advantages of thedescribed composition and of the described production method of theemulsion according to this invention in comparison with the prototypesand the emulsions closest to the invention. This is possible because ofthe subsequent synergy effects.

-   1. PFD and PFOB are selected as main components since these    perfluorocarbons prove to be biologically acceptable according to    their biological and physical-chemical properties and have a proven    and rapid elimination rate from the organism, i.e. from the cells of    the reticuloendothelial system, which accumulate fluorocarbon    particles.-   2. The common use of PFD and PFOB in the effective ratio leads to a    mixed oil phase, the properties of which gradually change from the    center to the periphery. This makes it possible to use poorly    lipophilic and no hydrophilic tertiary amines in the ingredients    which have a substantially lower vapor pressure (see Table 1) and    hence reduce the diffusion of lipophilic molecules of PFD and PFOB    into the aqueous phase. This slows down the rate of the main    mechanism of emulsion decomposition, the Ostwald ripening, and    increases the stability of the selected composition of the    fluorocarbon emulsions.-   3. The introduction of PFOB into the composition of the emulsions    extends their oxygen absorption capacity with the same fluorocarbon    content and contributes additional x-ray contrast properties.-   4. PFOB/PFD and a mixture of tertiary amines contributes to a lower    viscosity of the final form as a result of stronger bonding of the    absorption layer of surfactants around the particles, as a result of    which it becomes possible to exclude free micellar forms of    phospholipids in the aqueous phase of the emulsions.-   5. The use of oils of different physical-chemical properties in    addition to the phospholipids promotes formation of a denser    membrane-similar absorption layer around the particles with a    smaller quantity of phospholipids and prevents micellar structures    without fluorocarbons.-   6. The properties of the water-salt medium used ensure a negative    charge on the particle surface, as a result of which the coalescence    of the particles during storage and transportation is prevented.-   7. In addition to process-technological methods which ensure the    production of a highly calibrated emulsion (with a narrow particle    distribution), the above-mentioned methods weaken the molecular    distillation and promote higher stability of the emulsions.-   8. The missing aggregates of the particles and micellar forms of the    phospholipids ensure the absorption property and the property of the    emulsion which activates the complement in the bloodstream, as a    result of which a low reactogenity is effected and an increased    biocompatibility of the emulsions of the composition according to    this invention is promoted.    III. Tests for the Biomedicinal use of the Emulsions According to    the Invention are Indicated Subsequently.    Test 1

For the use of the emulsions for a massive blood replacement, a volumesubstitution with a fluorocarbon emulsion, produced according to example1 (section II) was implemented with healthy Wistar rats with a weight of250-300 g (n=20), with a Nembutal anaesthesia. The survival abilityafter a massive blood replacement and obtaining liver mitochondria afteran equalization of the blood loss (see method [16]) was determined. Inorder to ensure the oncotic pressure after the massive bloodreplacement, the emulsion was mixed before infusion with a 20% humanalbumin in the ratio of 1 part albumin to 6 parts emulsion so that afinal concentration of albumin of 3.5% was achieved (relative to thefact that the emulsion had 10% by volume of fluorocarbons). During theblood replacement, the rats inhaled an air enriched with oxygen up toFiO₂=0.5 which was supplied under a transparent Plexiglas hood. The hoodcovered the head of the animal which was fixed on its back. 3.5 ml bloodwere removed from the venous sinus (of the right vestibule) and 3.5 mlemulsion were injected into the venous sinus. After 10 minutes, 3.5 mlblood was removed and the same quantity of emulsion was injected. Thisprocedure was repeated until the removed quantity of blood comprised onaverage at least 3.5% of the weight of the animal; for example theremoved quantity of blood and the injected emulsion was respectively 8.8ml for the weight of 250 g. Before and after the blood replacement, thehaemoglobin in the peripheral blood, the partial pressure of oxygen andthe pH value in the arterial and venous blood was determined. In thistest series, the haemoglobin concentration after the blood replacementdropped on average by 1.9. In the control group (n=20), a solution of0.15 mol sodium chloride and 3.5% albumin was injected instead of theemulsion. With the nuclear resonance spectrometer, the fluorocarboncontent in the peripheral blood was determined. After the bloodreplacement, the animals were kept in a chamber to which air enrichedwith oxygen up to FiO₂=0.5 was supplied.

In the test group (with blood replacement), all the animals survived andthe haemoglobin, erythrocyte and leucocyte values were returned within 5days to the normal values. In the control group 3 animals died. After 5days, all the animals were killed under a Nembutal anaesthesia andmitochondria were separated from the liver. The breathing of the livermitochondria was registered polarimetrically in the closed,thermostatically operating cell at 27° C. It was established that thebreathing rate in the active state (with ATP synthesis) and the ATPsynthesis rate with oxidation of the NAD-dependent substrate by3-hydrooxybutyrate reduced on average by 1.5 with 20% activation of thesuccinate oxidation. These data confirm huge ischaemic damage. In theliver mitochondria separated 5 days after the blood replacement,activation of all breathing rates and an ATP synthesis of on average 25%was observed, as a result of which massive hypoxia in the anamnesis wasdemonstrated.

Test 2

All treatments were implemented as in the previous example but with theuse of a 20% fluorocarbon emulsion. The haemoglobin content was reducedthreefold in comparison to the initial values, on average 65-70% byvolume of the blood being replaced. The volume of the removed blood andthe injected blood replacement agent was respectively 12.25 ml for theweight of 250 g. In the test group, all the animals survived and, in thecontrol group, 5 animals died.

Test 3

All the treatments were implemented as in example 1. 5 animals of eachgroup were killed however after 6 hours, one day and 3 days after theblood replacement. The liver mitochondria were separated andphosphorylating breathing was registered. In the control group, a rapidsuppression of the breathing rate and phosphorylation with an oxidationof the NAD-dependent substrate and succinate of on average above 50% wasobserved, by which severe ischaemic damage to mitochondria ischaracterized. In the test group, 40% activation of the phosphorylatingbreathing was observed 6 hours after the blood replacement which wasmaintained for one day and was at most 25% 3 days after the bloodreplacement. Such changes characterize liver mitochondria which havebeen preserved and suffered from hypoxia and not from ischaemia.

Test 4

This test related to preservation of kidneys in dogs after ahaemorrhagic shock. Preservation of the kidneys was ascertained bykidney resuscitation after a kidney transplant to the animal with bothremoved kidneys (the examination was implemented after specialpermission from the ethics committee of the Health Ministry) and also byan evaluation of the adenyl nucleotides and of the lactate and pyruvatecontent in the kidneys one hour after the blood replacement. 10 dogswere examined with respectively 5 dogs in each group.

Examination procedure: from the dog with a weight of 20 kg, 400 ml bloodwas removed in a jet from the thigh artery under an intubationanaesthesia with controlled breathing, as a result of which a rapidpressure drop (up to 50-60 mm QS), a doubled heart contraction and anincreased lactate concentration in the plasma up to 20 mmol occurred.After one hour of blood removal, a blood replacement agent, the quantityof which exceeded the blood loss by 15% by volume, was supplied to theanimal, namely a 10% carbon emulsion according to example 1 with analbumin supplement up to 3.5% (as in example 14) in the test group andthe plasma expander polyglucine in the control group. After a furtherhour, the animals were killed and the kidneys removed. One was used fortransplantation and the other for examining the energy exchange of thekidney tissue.

In the control group, the ratio of ATP to ADP reduced threefold and theenergy charge ([ATP]+½[ADP])/([ATP]+[ADP]+[AMP]) to 0.45. In the testgroup (blood replacement by fluorocarbon emulsion), the ratio of ATP toADP was reduced at most twice and energy charge to 0.65-0.70. The ratioof lactate to pyruvate in the kidney tissue increased in the controlgroup to 25-30 and in the test group at most to 6.

In all cases, urination was observed in the receiver animals withtransplanted kidneys of those dogs which were treated with thefluorocarbon emulsion, immediately after inclusion of the transplant inthe bloodstream. In the control group, the development of reperfusiondamage with rapid tissue oedema and complete blood flow stoppage(nephrosis) was observed in 2 cases out of 5. In three cases of thecontrol group, the blood flow in the transplanted kidney wasre-established. Urination was observed only after several hours.

These data prove that the treatment of haemorrhagic shock in dogs withuse of the fluorocarbon emulsion according to this invention ensuresbetter protection of the organs from ischaemic and subsequentreperfusion damage.

Test 5

This test concerned the use of the fluorocarbon emulsion producedaccording to example 2 in order to preserve perfused rabbit hearts.Before use (1-2 hours), 400 ml fluorocarbon emulsion was mixed with 200ml isotonic solution of Krebs-Henseleit in the ratio 2:1. 80 ml of a 20%solution of serum albumin were added to 600 ml of the mixture. Thecontrol composition for comparative tests comprised 600 ml salt solutionwith a supplement of 7.2 g mannitol and 80 ml of a 20% albumin solution.These compositions were used as perfusion medium for preserving therabbit heart. A Langendorff perfusion was implemented circulation-wiseat 37° C. The time in which the frequency and the amplitude of the heartcontraction was maintained was registered. For the control and tests, 8hearts were used respectively. During use of the perfusion liquid on thefluorocarbon basis, the capacity for contraction of the isolated rabbitheart was maintained for at least 6-8 hours. During perfusion with thecontrol composition however, a severe reduction in the frequency andamplitude of the contraction up to cardiac arrest was observed.

In conclusion, it should be mentioned that the advantages of theemulsion according to this invention in contrast to the prototype andthe emulsions which are closest to this invention are as follows.

The formulation and the production method according to this invention ofthe fluorocarbon emulsions ensure a finely distributed, calibratedemulsion with prescribed particle size in the range between 0.06 and0.195 μm which contains 2 to 40% by volume of the fluorocarbon compoundsand is stabilized with a phospholipid dispersion in a biologicallyacceptable water-salt solution. Production of a high degree of finenessand microstructure of the fluorocarbon emulsions with storage for 18months in the non-frozen state was demonstrated, as a result of which itis made possible to obtain high biocompatibility which is expressed inlow reactogenity. The developed emulsions are applicable forbiomedicinal purposes, namely for the replacement of massive bloodlosses, for treating haemorrhagic shocks, for preventing ischaemicreperfusion damage, for preparing organs for transplants and forperfusion preservation of isolated organs. The developed emulsions havehighly pronounced oxygen transport and Theological properties, whichensure prevention and elimination of ischaemic damage tooxygen-dependent mitochondrial functions and also support of the aerobicenergy exchange in tissues during blood replacement and a treatment forhaemorrhagic shocks.

Footnotes

-   -   1. Periodical of the Russian Mendeleyev Chemistry Association,        1985, volume 30, no. 4, p. 387-394.    -   2. J. G. Rieses et al. Physiological Activity of        fluorine-containing Compounds (Tests and Clinical Examinations),        collection of scientific works, Puschtschino, 1995, p. 73-90.    -   3. M. B. Berkos, abridged dissertation...doctorate in medical        science, Leningrad, 1991, 24 pages    -   4. J. G. Rieses, Chem. Rev., 2001, V. 101, no. 9, p. 2797-2914.    -   5. RU Patent 2162692, C1. 7 A61K31/02, 9/10, 1999    -   6. RU Patent 2199311, C1. 7 A61K9/107, 31/02, 2001

7. U.S. Pat. No. 3,778,381, 1973

8. U.S. Pat. No. 6,113,919, 2000

9. U.S. Pat. No. 4,866,096, A61K31/025, 1989

10. U.S. Pat. No. 5,374,624, A61K31/025, 1994

11. RU Patent no. 2088217, 6 A61K9/10, 31/02, 1997

12. Biophysics, 1998, volume 33, no.1, p. 126-129

13. I. N. Kusnezowa, abridged dissertation . . . doctorate in biologicalscience, St. Petersburg, 1999, 38 pages

14. Chemical-Pharmaceutical Periodical, 1987, no. 12, p. 1498-1503

15. Periodical for Physical Chemistry, 1993, volume 67, no. 9, p.1884-1888

16. E. I. Majewskij, abridged dissertation...doctorate med. science,Moscow, 1998, 36 pages

1. A fluorocarbon emulsion for medicinal purposes, which includesrapidly eliminated fluorocarbon compounds such as perfluordecaline orperfluorooctylbromide, a fluorocarbon supplement and a phospholipid, thefluorocarbon comprising: a composition of perfluorodecaline andperfluorooctylbromide used as rapidly eliminated component, in which thea fluorocarbon supplement is a mixture of perfluorinated tertiaryamines, and the phospholipid used as a dispersion in a water-saltmedium.
 2. The fluorocarbon emulsion according to claim 1, furthercomprising 2-40% by vol. fluorocarbon compounds.
 3. The fluorocarbonemulsion according to claim 1, wherein a composition of rapidlyeliminated fluorocarbon compounds contains perfluorodecaline andperfluorooctylbromide in a ratio between 10:1 and 1:10.
 4. Thefluorocarbon emulsion according to claim 1, wherein the fluorocarbonsupplement contains 1 to 50% of a total content of the a composition ofrapidly eliminated fluorocarbon compounds.
 5. The fluorocarbon emulsionaccording to claim 1, wherein the mixture of perfluorinated tertiaryamines contains a mixture of perfluorotripropylamine and coproductsthereof, including cis- und trans-isomers ofperfluoro-1-propyl-3,4-dimethylpyrrolidone andperfluoro-1-propyl-4-methylpiperidine.
 6. The fluorocarbon emulsionaccording to claim 5, wherein in that the mixture of perfluorinatedtertiary amines contains in additionperfluoro-N-methylcyclohexylpiperidine and coproducts thereof.
 7. Thefluorocarbon emulsion according to claim 1, further comprisingphospholipid dispersion in a water-salt medium in a concentration of 0.2to 5% by weight.
 8. The fluorocarbon emulsion according to claim 1,wherein the phospholipid dispersion in the water-salt medium containsone of egg phospholipids, phospholipids, and phospholipids or a mixturethereof.
 9. The fluorocarbon emulsion according to claim 1, wherein thephospholipid dispersion in the water-salt medium contains as adjuvantvegetable oil in a quantity of 1-15% of the total content of thephospholipids.
 10. The fluorocarbon emulsion according to claim 9,wherein soya oil serves as adjuvant.
 11. The fluorocarbon emulsionaccording to claim 9, wherein sunflower seed oil serves as adjuvant. 12.The fluorocarbon emulsion according to claim 9, wherein ricinus oilserves as adjuvant.
 13. The fluorocarbon emulsion according to claim 9,wherein a mixture of the oils in the an effective ratio in w a form ofone of a twofold mixture and a threefold mixture serves as adjuvant. 14.The fluorocarbon emulsion according to claim 1, wherein the compositionof the water-salt medium contains sodium salts and potassium salts ofchlorides and phosphates and the monosaccharide mannitol in injectionwater.
 15. The fluorocarbon emulsion according to claim 1, wherein aconcentration of components in the water-salt medium has an osmoticpressure in the range of 100-350 mosmol/l.
 16. The fluorocarbon emulsionaccording to claim 15, wherein a mean particle size is equal to or lessthan 0.2 μm and is in a range of 0.06-0.2 μm.
 17. A method for producinga fluorocarbon emulsion which includes a homogenization under highpressure, the method comprising: a first step of producing aphospholipid dispersion in a water-salt medium, a second step ofhomogenization of the fluorocarbon compounds in the phospholipiddispersion, a third step of heat sterilization of the produced emulsion,and a fourth step of subsequent storage of at least 6 months in anon-frozen state at a temperature of +4° C.
 18. The method according toclaim 17, wherein the phospholipid dispersion in the water-salt mediumis produced by homogenization at a high pressure of at least 100 atmwith subsequent heat sterilization.
 19. The method according to claim17, wherein the fluorocarbon compounds in the phospholipid dispersionare homogenized at a pressure of 300 atm to 650 atm.
 20. The methodaccording to claim 17, wherein the phospholipid dispersion is sterilizedat 100° C.
 21. The method according to claim 17, wherein thefluorocarbon emulsion is sterilized at 100° C.
 22. The fluorocarbonemulsion according to claim 1, wherein the mixture of perfluorinatedtertiary amines contains in additionperfluoro-N-methylcyclohexylpiperidine and coproducts thereof.
 23. Thefluorocarbon emulsion according to claim 1, wherein a mean particle sizeis equal to or less than 0.2 μm and is in a range of 0.06-0.2 μm.